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NPI 1366534190

NPI 1366534190 : SUNGNAI CHO M.D. : NEW HYDE PARK, NY

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General NPI Number Information
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    NPI Number           |    1366534190
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    Entity Type          |    Individual 
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    Provider Name        |    SUNGNAI CHO M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/29/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    251 CONTINENTAL DR 
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    City                 |    NEW HYDE PARK
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    State                |    NY
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    Zip                  |    11040-1003
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    Country              |    US
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    Telephone            |    516-627-5412
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    Fax                  |    516-869-0572
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Provider Business Mailing Address
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    Address Line         |    251 CONTINENTAL DR 
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    City                 |    NEW HYDE PARK
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    State                |    NY
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    Zip                  |    11040-1003
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    Country              |    US
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    Telephone            |    516-627-5412
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    Fax                  |    516-869-0572
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    113345
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    License Number State |    NY
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