Provider Demographics
NPI:1932459294
Name:CHO, JULIE P (DMD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:P
Last Name:CHO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 E 54TH ST
Mailing Address - Street 2:SUITE 43
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4211
Mailing Address - Country:US
Mailing Address - Phone:212-753-3117
Mailing Address - Fax:212-644-7092
Practice Address - Street 1:59 E 54TH ST
Practice Address - Street 2:SUITE 43
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4211
Practice Address - Country:US
Practice Address - Phone:212-753-3117
Practice Address - Fax:212-644-7092
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY048142122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY048142OtherSTATE LICENSE