MEDICARE: BETTY KUO PA-C

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	363AM0700X	Medical Physician Assistant	031014	NY

General Provider Information

NPI Number	:	1194591156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETTY KUO PA-C

Provider Business Mailing Address
First Line	:	151 E 3RD ST APT 2A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10009-7423
Country	:	US
Telephone Number	:	408-775-5593
Fax Number	:

Provider Business Practice Location Address
First Line	:	821 45TH ST STE 101
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5286
Country	:	US
Telephone Number	:	718-972-1233
Fax Number	:

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

Provider Enumeration Date	:	11/30/2023
Last Update Date	:	11/30/2023

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Directions to “ BETTY KUO PA-C” Practice Location

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