Main Sen Koo
Main Sen Koo is a Physician Assistant in Elmhurst, New York. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 1
- Licensed in
- NY
- In the registry since
- 2025
Practice location Address checks out
7901 BroadwayElmhurst, NY 11373-1329
Phone: (844) 692-4692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 035062 (NY) |
|---|
Record details
| NPI number | 1609737196 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 24, 2025 |
| Last updated in NPPES | December 28, 2025 |
| Certification date | December 28, 2025 |
| Mailing address | 3708 Main St Ste 209, Flushing, NY 11354-6537 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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