Koo, Jimmy L
Koo, Jimmy L is an individual health care provider with primary practice located at 48 Route 6 Ste 102 Care Mount Medcical Pc, Yorktown Heights NY 10598. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Koo, Jimmy L can be contacted via phone (914) 248-5556.Contact Information
Primary practice address
48 Route 6 Ste 102 Care Mount Medcical Pc
Yorktown Heights NY 10598
Phone: (914) 248-5556
Fax: (914) 248-4091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1516631 | New York |
Profile Details
| NPI number | 1063502870 |
|---|---|
| LBN Legal business name | Koo, Jimmy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jun 6th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063502870 | NPPES |
| New York | MEDICAID | 00921673 |
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