Individual
DR. JESSE KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20945 45TH RD FL 1, BAYSIDE, NY 11361-3233
(718) 423-7200
(718) 224-8727
Mailing address
20945 45TH RD FL 1, BAYSIDE, NY 11361-3233
(718) 423-7200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
213571-1
NY
208000000X
Pediatrics Physician
MA 068417
NJ
Other
Enumeration date
04/24/2006
Last updated
07/25/2023
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