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BON C. KOO M.D.
NPI 1265586804
Long Term Care Hospital in Queens Village, NY

Active since January 22, 2007
8045 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427(718) 264-4296(718) 264-4212 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bon C. Koo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BON C. KOO M.D. (NPI 1265586804) is an individual long term care hospital provider in Queens Village, New York, licensed in New York (134508) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1265586804
Entity TypeIndividualFemale
Primary Taxonomy282E00000X
Provider Legal NameBON C. KOOCredential: M.D.
Location Address8045 WINCHESTER BLVDQueens Village, NY 11427-2193
Mailing Address8045 Winchester BlvdQueens Village, NY 11427-2193 · (718) 264-4296 · Fax (718) 264-4212
Phone(718) 264-4296
Fax(718) 264-4212
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265586804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
License✔ Licensed in NY · 134508
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
8045 WINCHESTER BLVD, Queens Village, NY 11427
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Other Identifiers 1

Medicare UPINE95733NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CREEDMOOR PSYCHIATRIC CENTER
Health Maintenance Organization
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 464-7500
ANTOINE RULBERT REMY RN
Registered Nurse (Psychiatric/Mental Health, Adult)
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 264-3956
HEMLATA DALVI MD
Psychiatry & Neurology (Psychiatry)
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 264-4058
MS. BARBARA ANN STEPHENS R.N.
Registered Nurse (General Practice)
8045 WINCHESTER BLVD, BUILDING 73
QUEENS VILLAGE, NY 11427
Queens County (718) 264-3950
ELLA BRODSKY
Psychiatry & Neurology (Psychiatry)
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 464-7500
SUSAN CHIRAYIL MD
Family Medicine (Addiction Medicine)
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 264-3751
DR. YIN YEA CHYU M.D.
Psychiatry & Neurology (Psychiatry)
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 264-4000
MAGALIE PIERRE
Counselor
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 264-3959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bon Koo's NPI number?

The NPI number for Bon Koo is 1265586804. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Bon Koo located?

Bon Koo practices at 8045 Winchester Blvd, Queens Village, NY 11427. The listed phone number is (718) 264-4296.

What is Bon Koo's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

When was this NPI record last updated?

The NPPES record for Bon Koo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.