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Contact Information

JIMMY L KOO, MD
48 ROUTE 6 STE 102
CARE MOUNT MEDCICAL PC
YORKTOWN HEIGHTS, NY10598
 Phone: 914-248-5556
 Fax: 914-248-4091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JIMMY L KOO · (Male)

NPI Number 1063502870
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2006
Last updated 06/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 1516631
  • NY Medicaid 00921673
Hospital affiliation(s)
  • PUTNAM HOSPITAL CENTER - (Acute Care)
    670 STONELEIGH AVENUE
    CARMEL, NY 10512
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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