Individual
JOHNNY KAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4047
(631) 376-3392
Mailing address
PO BOX 5934, NEW YORK, NY 10087-5934
(516) 338-5300
(516) 333-1075
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
234755
NY
2085R0001X
Radiation Oncology Physician
ME 108316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002790900
—
FL
05
—
02678182
—
NY
01
—
149Y4
BCBS
FL
Enumeration date
02/06/2006
Last updated
02/14/2013
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