DR. CELEDONIA V KOH (NPI# 1619048113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619048113 |
| Entity Type | Individual |
| Full Name | DR. CELEDONIA V KOH |
| Credential | M.D. |
| Practice Address |
549 W 180th St New York New York NY 10033-5825 |
| Mailing Address |
10 W 66th St Apt. 19a New York NY 10023-6206 |
| Practice Telephone | 2127959888 |
| Mailing Telephone | 2125956637 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
112107 | NY | Behavioral Health & Social Service Providers |
| Street Address |
549 W 180TH ST NEW YORK |
| City | NEW YORK |
| State | NY |
| Zip Code | 10033-5825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538422233 | Johanna Rosalia Suriel | Social Worker | 549 W 180th St, New York, NY 10033-5849 | 2012-06-19 |
| 1881967743 | Elizabeth Toledo-melo | Social Worker | 549 W 180th St, New York, NY 10033-5849 | 2012-02-22 |
| 1477823847 | Madeline Carrillo-encarnacion | Social Worker | 549 W 180th St, New York, NY 10033-5849 | 2012-01-03 |
| 1902182553 | Sheyla Montero | Case Manager/Care Coordinator | 549 W 180th St, New York, NY 10033-5849 | 2011-10-27 |
| 1104133123 | Yaneza S Cruz | Social Worker | 549 W 180th St, New York, NY 10033-5849 | 2010-09-13 |
| 1154644672 | Gabel Viera | Social Worker | 549 W 180th St, New York, NY 10033-5849 | 2010-03-11 |
| 1457518920 | Elinoar Sella | Social Worker | 549 W 180th St, New York, NY 10033-5825 | 2008-05-21 |
| 1598947822 | Nayeli Calle | Social Worker | 549 W 180th St, New York, NY 10033-5825 | 2007-11-28 |
| 1427273846 | Jbfcs | Community/Behavioral Health | 549 W 180th St, New York, NY 10033-5825 | 2007-04-13 |
| 1053489898 | Shara Perlman | Social Worker | 549 W 180th St, New York, NY 10033-5825 | 2006-12-01 |
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| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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| 1760862593 | Joanna Stern | Psychologist | 101 East 56th Street, New York, NY 10022 | 2015-06-07 |
| 1770970196 | Cara Remmes | Psychologist | 3959 Broadway Chony 6 North, Ms Children's Hospital of Nyp, New York, NY 10032 | 2015-04-23 |
| 1174913370 | Rebecca Hutt | Psychologist | 255 W 101st St, 1st Floor, New York, NY 10025-4974 | 2015-01-27 |
| 1447648753 | Victoria I Phillips | Psychologist | 10 W 65th St Apt 5d, New York, NY 10023-6639 | 2015-01-08 |
| 1588006050 | Joselyn Fine | Psychologist | 740 W End Ave Apt 5, New York, NY 10025-6256 | 2013-07-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.