Mi Koo, TVI

Primary specialty

Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X

Practice address

24129A Oak Park Dr
Douglaston, NY 11362-2616

Phone

(917) 445-0597

NPI assigned

Jan 21, 2012

Last updated

Jan 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mi Y Koo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327104000000",
    "number": "1437420585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24129A OAK PARK DR",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113622616",
            "telephone_number": "917-445-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24129A OAK PARK DR",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113622616",
            "telephone_number": "917-445-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "MI",
        "name_prefix": "Ms.",
        "credential": "TVI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MI",
            "last_name": "KOO",
            "middle_name": "Y",
            "prefix": "MS.",
            "credential": "TVI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justine Kang
• Angelica I Khaimov, LMSW
• In Ho Kim, L.AC
• Jennifer Kitay
• Oleg Kontarovich, LMSW
• Shachar Adi Korman, MS LAC
• Asha A. Kumta, OTR
• Ashok Kumta, OTR/L
• Myoung J Kyong, ACUPUNCTURIST
• Deborah Ann Lawson, PHD

• Blind Rehabilitation Specialist/Technologist in Douglaston, NY
• Providers in Douglaston, NY by specialty
• Blind Rehabilitation Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.