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NPI Code Detail

MEDICARE: EDWIN YOUNG KO M.D.

MEDICARE: EDWIN YOUNG 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician190320NY

General Provider Information

NPI Number : 1427044718
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWIN YOUNG KO M.D.
Provider Business Mailing Address
First Line : 1276 FULTON AVE
Second Line :
City : BRONX
State : NY
Zip : 10456-3467
Country : US
Telephone Number : 718-992-7669
Fax Number :
Provider Business Practice Location Address
First Line : 1650 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10457-7679
Country : US
Telephone Number : 718-992-7669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 02/04/2026

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