Ko, Nancy R
Ko, Nancy R is an individual health care provider with primary practice located at 1855 Union Blvd Suite B, Bay Shore NY 11706. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ko, Nancy R can be contacted via phone (631) 665-6363.Contact Information
Primary practice address
1855 Union Blvd Suite B
Bay Shore NY 11706
Phone: (631) 665-6363
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 006497 | New York |
Profile Details
| NPI number | 1710196662 |
|---|---|
| LBN Legal business name | Ko, Nancy R |
| Credentials | RPAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1710196662 | NPPES |
| New York | MEDICAID | 01895752 |
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