Kooi, Pang Lay
Kooi, Pang Lay is an sole proprietor health care provider with primary practice located at 195 Genesee St , Auburn NY 13021-3302. He recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Exclusive Provider Organization, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kooi, Pang Lay can be contacted via phone (315) 252-8800.Contact Information
Primary practice address
195 Genesee St
Auburn NY 13021-3302
Phone: (315) 252-8800
Fax: (315) 258-3938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Exclusive Provider Organization | 302F00000X | 1254471 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 125447 | New York |
Profile Details
| NPI number | 1972604197 |
|---|---|
| LBN Legal business name | Kooi, Pang Lay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 9th, 2015 - about 10 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 | 1972604197 | NPPES |
| New York | MEDICAID | 00457043 |
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