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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1063502870 NPPES
New York MEDICAID 00921673

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