Provider Demographics
NPI:1639393929
Name:CHO-VELASCO, FLORENCE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:FLORENCE
Middle Name:M
Last Name:CHO-VELASCO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 E 29TH ST
Mailing Address - Street 2:APT. 5D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8169
Mailing Address - Country:US
Mailing Address - Phone:212-689-5707
Mailing Address - Fax:
Practice Address - Street 1:101 AVENUE OF THE AMERICAS
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1933
Practice Address - Country:US
Practice Address - Phone:212-388-2099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0515311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice