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General NPI Number Information
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NPI Number | 1578310496
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Entity Type | Organization
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Legal Business Name | BRIAN CHO OPTOMETRY PLLC
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Dates
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Enumeration Date | 04/30/2024
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 1850 ROUTE 112 STE L
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City | CORAM
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State | NY
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Zip | 11727-2232
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Country | US
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Telephone | 631-736-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 5 BELLPORT LN
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City | BELLPORT
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State | NY
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Zip | 11713-2748
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Country | US
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Telephone | 631-286-4014
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN Y. CHO
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Credential | OD, MS
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Telephone | 631-736-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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