Provider Demographics
NPI:1225102338
Name:CHO, SYNG J (MD)
Entity Type:Individual
Prefix:DR
First Name:SYNG
Middle Name:J
Last Name:CHO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:112 03 QUEENS BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-261-7300
Mailing Address - Fax:718-261-7301
Practice Address - Street 1:112 03 QUEENS BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-261-7300
Practice Address - Fax:718-261-7301
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144736207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00722716Medicaid
01436116Medicare ID - Type Unspecified
NY00722716Medicaid