Provider Demographics
NPI:1730341462
Name:KUO, DANIEL CHI-CHOW (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:CHI-CHOW
Last Name:KUO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13625 MAPLE AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3870
Mailing Address - Country:US
Mailing Address - Phone:718-321-8500
Mailing Address - Fax:718-460-4105
Practice Address - Street 1:13625 MAPLE AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3870
Practice Address - Country:US
Practice Address - Phone:718-321-8500
Practice Address - Fax:718-460-4105
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY165139207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB58742Medicare UPIN