| Doctor Name: | MS. MI KOO |
| NPI Number: | 1437420585 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | TVI |
| License Number: | |
| Business Practice Address: | 24129a Oak Park Dr Douglaston, NY - 113622616 |
| Business Phone Number: | 9174450597 |
| Business Fax Number: | |
| Mailing Address: | 24129a Oak Park Dr, DOUGLASTON |
| State: | NY |
| Postal Code: | 113622616 |
| Phone Number: | 9174450597 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2012 |
| NPI Last Update Date: | 01/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2255R0406X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Rehabilitation, Blind |
| Taxonomy Definition: | |