MEDICARE: STEVEN H. CHO DDS, PLLC

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)
2	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)

General Provider Information

NPI Number	:	1558357533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN H. CHO DDS, PLLC

Provider Business Mailing Address
First Line	:	121 E 60TH ST
Second Line	:	SUITE 7A
City	:	NEW YORK
State	:	NY
Zip	:	10022-1117
Country	:	US
Telephone Number	:	212-838-5895
Fax Number	:	212-838-6007

Provider Business Practice Location Address
First Line	:	121 E 60TH ST
Second Line	:	SUITE 7A
City	:	NEW YORK
State	:	NY
Zip	:	10022-1117
Country	:	US
Telephone Number	:	212-838-5895
Fax Number	:	212-838-6007

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN H CHO
Credential	:	DDS
Telephone Number	:	212-838-5895

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	08/14/2015

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