Individual
TRAVIS ISAIAH MCKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
529 COURTLANDT AVE FL 4, BRONX, NY 10451-5007
(914) 997-8000
Mailing address
1130 UNDERHILL AVE, BRONX, NY 10472-4804
(914) 513-6789
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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