Koo, Edwin

Koo, Edwin is an sole proprietor health care provider with primary practice located at 100 Port Washington Blvd , Roslyn NY 11576-1347. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Koo, Edwin can be contacted via phone (516) 562-6000.

Contact Information

Primary practice address
100 Port Washington Blvd Roslyn NY 11576-1347
Phone: (516) 562-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1700538956
LBN Legal business name Koo, Edwin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2022
Last updated Mar 2nd, 2022 - about 2 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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