Koa & Keoni Medical Pllc

NPI 1013188317 - Family Medicine - 207Q00000X

NPI Details
NPI 1013188317
Enumeration Date 03/14/2008
Last Updated 03/01/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VIVIAN VIVIAN
Position PRESIDENT
Phone (212) 334-2200
Fax
Practice Location
139 CENTRE ST
STE 724
NEW YORK NY, 10013-4552, US
Phone (212) 334-2200
Fax
Business Location
139 CENTRE ST
STE 724
NEW YORK NY, 10013-4552, US
Phone (212) 334-2200
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 230673
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According to our database, Koa & Keoni Medical Pllc NPI is 1013188317, taxonomy code is 207Q00000X and license number is 230673, license state is located at New York. Koa & Keoni Medical Pllc physically located at 139 Centre St, New York NY, 10013-4552. NPI Number 1033115704 has the healthcare provider type.

1013188317 NPI number is provided on an as is basis without warranty of any kind. 1013188317 is maintained by the National Plan & Provider Enumeration System. The contents of Koa & Keoni Medical Pllc are for informational purposes only.