Byungki Koo
Custodial Care Facility, Adult Care Home in Flushing, NY. Individual provider (NPI-1).
NPI number1295166288
StatusActive
Last updated in NPPESDec 2, 2013
Details
- NPI
- 1295166288
- Entity type
- Individual (NPI-1)
- Name
- Byungki Koo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 2, 2013
- Last updated
- Dec 2, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
3710 149th Pl Apt 1bFlushing, NY 11354-4964
Phone 718-820-6911 · Fax 718-321-2050
Mailing address
3710 149th Pl Apt 1bFlushing, NY 11354-4964
Phone 718-820-6911 · Fax 718-321-2050
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Adult Care Home Facility providers in Flushing, NY
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