Individual
GRACE YOUNG KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15009 NORTHERN BLVD FL 4, FLUSHING, NY 11354-3888
(646) 272-8492
Mailing address
15009 NORTHERN BLVD FL 4, FLUSHING, NY 11354-3888
(646) 272-8492
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/24/2020
Last updated
10/24/2020
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