Individual provider · Type 1 NPI

Stephanie McKinney Koo, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1508015892 Active

Practice location

535 E 70th St
New York, NY 10021-4823

Call (212) 606-1000 Map

Mailing address

423 E 83rd St Apt 3B
New York, NY 10028-5520

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X002148 (CT)
Surgical Physician Assistant Primary 363AS0400X013524 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1508015892

Stephanie McKinney Koo, PA-C's National Provider Identifier is 1508015892, issued on Sep 11, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Apr 15, 2021.