MEDICARE: DR. KATHRYN R KO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	172274	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134195324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN R KO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 20398
Second Line	:	CHEROKEE STATION
City	:	NEW YORK
State	:	NY
Zip	:	10021-0066
Country	:	US
Telephone Number	:	212-746-5631
Fax Number	:

Provider Business Practice Location Address
First Line	:	3RD AVENUE AND 183RD STREET
Second Line	:	ST. BARNABAS HOSPITAL
City	:	BRONX
State	:	NY
Zip	:	10457-2594
Country	:	US
Telephone Number	:	718-960-3788
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	09/27/2007

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