Individual provider · Type 1 NPI
Byungki Koo
Adult Care Home Facility · Flushing, NY
NPI number
1295166288
Active
Practice location
3710 149th Pl Apt 1B
Flushing, NY 11354-4964
Fax (718) 321-2050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1295166288
Byungki Koo's National Provider Identifier is 1295166288, issued on Dec 2, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Flushing, NY. The record was last updated on Dec 2, 2013.