Koo, Bon Chang A.
Koo, Bon Chang A. is an individual health care provider with primary practice located at 277 Quassaick Avenue (Rt. 94) , New Windsor NY 12553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Koo, Bon Chang A. can be contacted via phone (845) 565-5630.Contact Information
Primary practice address
277 Quassaick Avenue (Rt. 94)
New Windsor NY 12553
Phone: (845) 565-5630
Fax: (845) 565-5643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 230774-1 | New York |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 25MA09230600 | New Jersey |
Profile Details
| NPI number | 1396960043 |
|---|---|
| LBN Legal business name | Koo, Bon Chang A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Apr 29th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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