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NPI Code Detail

MEDICARE: DARBY Y. KOH FNP-BC

MEDICARE: DARBY Y. KOH FNP-BC
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
1207Q00000XFamily Medicine PhysicianF347373NY

General Provider Information

NPI Number : 1740860766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARBY Y. KOH FNP-BC
Provider Business Mailing Address
First Line : 3808 UNION ST
Second Line :
City : FLUSHING
State : NY
Zip : 11354-5543
Country : US
Telephone Number : 718-888-7907
Fax Number :
Provider Business Practice Location Address
First Line : 3808 UNION ST STE 5A
Second Line :
City : FLUSHING
State : NY
Zip : 11354-5671
Country : US
Telephone Number : 718-888-7907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2021
Last Update Date : 01/24/2022

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Directions to “ DARBY Y. KOH FNP-BC” Practice Location

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