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:
Health care specialties
| Specialty | Code | License # | 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 5 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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