Individual
WILSON KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13625 MAPLE AVE, SUITE 202, FLUSHING, NY 11355-3870
(718) 358-5900
(718) 463-8049
Mailing address
13625 MAPLE AVE, SUITE 202, FLUSHING, NY 11355-3870
(718) 358-5900
(718) 463-8049
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
158635
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01067050
—
NY
01
—
160517
ELDER PLAN
NY
01
—
20E801
BLUE CROSS AND BLUE SHILED
NY
01
—
NS2922
OXFORD
NY
Enumeration date
12/28/2005
Last updated
09/26/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us