Doctor Name: | DR. PATRICIA SUE KOOYMAN |
NPI Number: | 1841259918 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 234611 |
Business Practice Address: | New York Institute Of Technology Northern Boulevard Academic Health Care Center Nycom Old Westbury, NY - 115688000 |
Business Phone Number: | 5166861300 |
Business Fax Number: | 5166867890 |
Mailing Address: | Ny Inst Of Technology Northern Blvd Po Box 8000, Academic Health Care Center Nycom OLD WESTBURY |
State: | NY |
Postal Code: | 115688000 |
Phone Number: | 5166861300 |
Fax Number: | 5166867890 |
NPI Enumeration Date: | 03/18/2006 |
NPI Last Update Date: | 05/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 234611 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |