Bon Chang A Koo, MD
Internal Medicine, Gastroenterology in New Windsor, New York
1396960043- Practice location
- 277 Quassaick Avenue (Rt. 94), New Windsor, NY 12553
- Phone
- 845-565-5630
- Fax
- 845-565-5643
- Last updated
- April 29, 2013
Bon Chang A. Koo is an Internal Medicine, Gastroenterology based in New Windsor, NY. Bon Chang A. Koo practices in New Windsor, NY and has the professional credentials of MD. The NPI Number for Bon Chang A. Koo is 1396960043 and holds a License No. 230774-1 (NY). The current practice location address for Bon Chang A. Koo is 277 Quassaick Avenue (Rt. 94), New Windsor, NY 12553 and can be reached out via phone at 845-565-5630 and via fax at 845-565-5643.
Provider Profile Details
- NPI Number
- 1396960043
- Provider Name
- Bon Chang A. Koo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 277 Quassaick Avenue (Rt. 94), New Windsor, NY 12553
- Phone Number
- 845-565-5630
- Fax Number
- 845-565-5643
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 16, 2007
- Last Update Date
- April 29, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 277 Quassaick Avenue (Rt. 94)
New Windsor, NY 12553 - City
- New Windsor
- State
- New York
- Zip
- 12553
- Phone Number
- 845-565-5630
- Fax Number
- 845-565-5643
Provider Business Mailing Address Details
- Address
- 466 Old Hook RD.
Suite 1
Emerson, NJ 07630-1368 - City
- Emerson
- State
- NJ
- Zip
- 07630-1368
- Phone Number
- 201-967-8221
- Fax Number
- 201-634-9647
License Information
- License Number (1)
- 230774-1
- License State (1)
- NY
- Taxonomy (1)
- Internal Medicine, Gastroenterology · 207RG0100X
- License Number (2)
- 25MA09230600
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bon Chang A Koo, MD?
The NPI number of Bon Chang A Koo, MD is 1396960043. It was assigned on April 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Bon Chang A Koo, MD?
Bon Chang A Koo, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NY under license number 230774-1.
Where does Bon Chang A Koo, MD practice?
The practice location is 277 Quassaick Avenue (Rt. 94), New Windsor, NY 12553. The office can be reached at 845-565-5630 (phone) or 845-565-5643 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396960043 directly on the NPPES registry website.