Individual provider · Type 1 NPI

Main Sen Koo

Physician Assistant · Elmhurst, NY

NPI number 1609737196 Active

Practice location

7901 Broadway
Elmhurst, NY 11373-1329

Call (844) 692-4692 Map

Mailing address

3708 Main St Ste 209
Flushing, NY 11354-6537

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X035062 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609737196

Main Sen Koo's National Provider Identifier is 1609737196, issued on Nov 24, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Elmhurst, NY. The record was last updated on Dec 28, 2025.