Cho, Kyu Woong

Cho, Kyu Woong is an sole proprietor health care provider with primary practice located at 366 Broadway Building #5, Amityville NY 11701-2711. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cho, Kyu Woong can be contacted via phone (631) 841-4890.

Contact Information

Primary practice address
366 Broadway Building #5 Amityville NY 11701-2711
Phone: (631) 841-4890
Fax: (631) 842-0801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 121009 New York

Profile Details

NPI number 1215948542
LBN Legal business name Cho, Kyu Woong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215948542 NPPES
New York MEDICAID 00876522

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