Provider Demographics
NPI:1114196714
Name:CHO, YOEN (RPT)
Entity Type:Individual
Prefix:
First Name:YOEN
Middle Name:
Last Name:CHO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12610 25TH RD
Mailing Address - Street 2:#1
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-1106
Mailing Address - Country:US
Mailing Address - Phone:917-816-5238
Mailing Address - Fax:
Practice Address - Street 1:12610 25TH RD
Practice Address - Street 2:#1
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-1106
Practice Address - Country:US
Practice Address - Phone:917-816-5238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023165225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist