Kern Scott Koo


Address: 5133 Marathon Pkwy, Little Neck, NY 11362-1716

Kern Scott Koo (NPI# 1679797088, PAC ID# 6800887001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1679797088
PAC ID by PECOS 6800887001
Professional Enrollment ID I20040518000965
Full Name Kern Scott Koo
Address 5133 Marathon Pkwy
Little Neck
NY 11362-1716
Gender M
Credential MD
Graduation Year 1998
Primary Specialty FAMILY MEDICINE
Secondary Specialties GENERAL PRACTICE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
5133 Marathon Pkwy, Little Neck, NY 11362-1716

Organization Information

Office Location

Street Address 5133 MARATHON PKWY
City LITTLE NECK
State NY
Zip 11362-1716

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Susan H Heckler Clinical Social Worker Jewish Board of Family and Childrens Services Inc 24302 Northern Blvd, Douglaston, NY 11362-1150
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Competitor

Search similar physicians

City LITTLE NECK
Zip Code 11362
Specialty FAMILY MEDICINE
City + Specialty LITTLE NECK + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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