Provider Demographics
NPI:1902867773
Name:CHO, RICHARD (DO)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:DO
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Other - Last Name:
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Mailing Address - Street 1:110 S BEDORD RD
Mailing Address - Street 2:CARE MOUNT MEDICAL PC
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4430
Mailing Address - Country:US
Mailing Address - Phone:914-962-3303
Mailing Address - Fax:914-962-4271
Practice Address - Street 1:1825 COMMERCE ST
Practice Address - Street 2:CARE MOUNT MEDICAL PC
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4432
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-242-1516
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2016-11-14
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Provider Licenses
StateLicense IDTaxonomies
NY208923207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01937695Medicaid
NYA400029814Medicare PIN
NY40C451Medicare UPIN
NYB16804Medicare UPIN