Healthcare Provider Details

I. General information

NPI: 1730341462
Provider Name (Legal Business Name): DANIEL CHI-CHOW KUO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 06/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13625 MAPLE AVE SUITE 207
FLUSHING NY
11355-3870
US

IV. Provider business mailing address

13625 MAPLE AVE SUITE 207
FLUSHING NY
11355-3870
US

V. Phone/Fax

Practice location:
  • Phone: 718-321-8500
  • Fax: 718-460-4105
Mailing address:
  • Phone: 718-321-8500
  • Fax: 718-460-4105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number165139
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: