; NPI #1265586804

Contact Information

BON C KOO, MD

8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2193

Phone: 718-264-4296
Fax: 718-264-4212
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Long Term Care Hospital	282E00000X	A0[7]	Hospital-Long-Term (PPS excluded)

Indicates primary specialty

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NPI Profile & details for

NPI Number 1265586804

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 01/22/2007

Last updated 07/08/2007 - About 19 years ago

Identifiers

License #

134508

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Long Term Care Hospital

NPI Profile & details for

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