Ko, Wilson

Ko, Wilson is an sole proprietor health care provider with primary practice located at 13625 Maple Ave Suite 202, Flushing NY 11355-3870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ko, Wilson can be contacted via phone (718) 358-5900.

Contact Information

Primary practice address
13625 Maple Ave Suite 202 Flushing NY 11355-3870
Phone: (718) 358-5900
Fax: (718) 463-8049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 158635 New York

Profile Details

NPI number 1770560096
LBN Legal business name Ko, Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Sep 26th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770560096 NPPES
New York Other 160517 ELDER PLAN
New York Other 20E801 ELDER PLAN
New York MEDICAID 01067050 ELDER PLAN
New York Other NS2922 ELDER PLAN

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