Individual provider · Type 1 NPI
Injung Ko, NP
Adult Health Nurse Practitioner · Bayside, NY
NPI number
1720744766
Active
Practice location
21102 73rd Ave
Bayside, NY 11364-2855
Mailing address
211-2 73rd Ave
Bayside, NY 11364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F310572 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1720744766
Injung Ko, NP's National Provider Identifier is 1720744766, issued on Nov 15, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bayside, NY. The record was last updated on Apr 5, 2023.