MEDICARE: YOONJU CHO

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
1	363LF0000X	Family Nurse Practitioner	357662	NY

General Provider Information

NPI Number	:	1174494397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOONJU CHO

Provider Business Mailing Address
First Line	:	472 7TH ST FL 2
Second Line	:
City	:	PALISADES PARK
State	:	NJ
Zip	:	07650-2304
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	472 7TH ST FL 2
Second Line	:
City	:	PALISADES PARK
State	:	NJ
Zip	:	07650-2304
Country	:	US
Telephone Number	:	201-207-7596
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	09/12/2025

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Directions to “ YOONJU CHO ” Practice Location

Language	Start Address	Practice Location

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