Individual
PRISCILLA KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 LAKEVILLE RD BLDG B, NEW HYDE PARK, NY 11042
(516) 734-8973
(516) 734-7642
Mailing address
450 LAKEVILLE RD BLDG B, NEW HYDE PARK, NY 11042-1118
(516) 734-8973
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306027
NY
Other
Enumeration date
04/27/2012
Last updated
08/27/2018
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