Provider Demographics
NPI:1073047353
Name:CHO, HYUN KYOUNG (LMSW)
Entity Type:Individual
Prefix:
First Name:HYUN KYOUNG
Middle Name:
Last Name:CHO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5813 CLEARVIEW EXPY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-1712
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:250 PARK AVE
Practice Address - Street 2:SUITE 7006
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10177-0001
Practice Address - Country:US
Practice Address - Phone:646-791-9444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY097753104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker