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NPI Code Detail

MEDICARE: DR. JIHEE CHO PHD

MEDICARE:  DR. JIHEE  CHO  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist022786NY

General Provider Information

NPI Number : 1013497205
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JIHEE CHO PHD
Provider Business Mailing Address
First Line : 4332 22ND ST
Second Line : STE 203
City : LONG ISLAND CITY
State : NY
Zip : 11101-5077
Country : US
Telephone Number : 917-243-1667
Fax Number :
Provider Business Practice Location Address
First Line : 4332 22ND ST
Second Line : STE 203
City : LONG ISLAND CITY
State : NY
Zip : 11101-5077
Country : US
Telephone Number : 917-243-1667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2018
Last Update Date : 01/02/2020

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Directions to “ DR. JIHEE CHO PHD” Practice Location

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