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NPI Code Detail

MEDICARE: DR. KATHRYN R KO M.D.

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
1207T00000XNeurological Surgery Physician172274NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID 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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