Grace Young Ko, RD
Dietitian, Registered in Flushing, NY. Individual provider (NPI-1).
NPI number1982203519
StatusActive
Last updated in NPPESOct 24, 2020
Details
- NPI
- 1982203519
- Entity type
- Individual (NPI-1)
- Name
- Grace Young Ko
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2020
- Certification date
- Oct 24, 2020
- Last updated
- Oct 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
15009 Northern Blvd Fl 4Flushing, NY 11354-3888
Phone 646-272-8492
Mailing address
15009 Northern Blvd Fl 4Flushing, NY 11354-3888
Phone 646-272-8492
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