Provider Demographics
NPI:1295886646
Name:CHO, YOUNGNAN JENNY (MD)
Entity type:Individual
Prefix:DR
First Name:YOUNGNAN
Middle Name:JENNY
Last Name:CHO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1886 BROADWAY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7033
Mailing Address - Country:US
Mailing Address - Phone:212-956-0187
Mailing Address - Fax:212-247-8093
Practice Address - Street 1:1886 BROADWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7033
Practice Address - Country:US
Practice Address - Phone:212-956-0187
Practice Address - Fax:212-247-8093
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY203746207Y00000X
NJ25MA07957000207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04Z892Medicare PIN
NYG68726Medicare UPIN