Healthcare Provider Details

I. General information

NPI: 1003728403
Provider Name (Legal Business Name): HENSON CHO
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14245 58TH RD
FLUSHING NY
11355-5310
US

IV. Provider business mailing address

14245 58TH RD
FLUSHING NY
11355-5310
US

V. Phone/Fax

Practice location:
  • Phone: 718-445-4222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number037076
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: