Koo, Justine Marie

Koo, Justine Marie is an sole proprietor health care provider with primary practice located at 1600 Deer Park Ave , Deer Park NY 11729-5208. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Koo, Justine Marie can be contacted via phone (631) 242-2250.

Contact Information

Primary practice address
1600 Deer Park Ave Deer Park NY 11729-5208
Phone: (631) 242-2250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 023472 New York

Profile Details

NPI number 1336781392
LBN Legal business name Koo, Justine Marie
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2019
Last updated Oct 11th, 2019 - about 7 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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