MEDICARE: MS. MILYOUNG RUMIE CHO LAC

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	171100000X	Acupuncturist	000999-1	NY

General Provider Information

NPI Number	:	1942623186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MILYOUNG RUMIE CHO LAC

Provider Business Mailing Address
First Line	:	392 GRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-2421
Country	:	US
Telephone Number	:	917-656-4778
Fax Number	:	212-247-8024

Provider Business Practice Location Address
First Line	:	421 W 57TH ST STE B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-1716
Country	:	US
Telephone Number	:	917-656-4778
Fax Number	:	212-247-8024

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

Provider Enumeration Date	:	01/23/2014
Last Update Date	:	01/23/2014

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