Koa & Keoni Medical PLLC
Family Medicine in New York, NY. Organization (NPI-2).
NPI number1013188317
StatusActive
Last updated in NPPESMar 1, 2013
Details
- NPI
- 1013188317
- Entity type
- Organization (NPI-2)
- Legal business name
- Koa & Keoni Medical PLLC
- Organization subpart
- No
- Enumeration date
- Mar 14, 2008
- Last updated
- Mar 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 230673 | NY | Yes |
Practice location
139 Centre StSte 724
New York, NY 10013-4552
Phone 212-334-2200
Mailing address
139 Centre StSte 724
New York, NY 10013-4552
Phone 212-334-2200
Authorized official
Vivian Li-Hirashiki
President
2123342200
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