Individual
DR. JANE JIMIN CHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1645 DEER PARK AVE, DEER PARK, NY 11729-5202
(631) 667-4200
(631) 667-4243
Mailing address
1645 DEER PARK AVE, DEER PARK, NY 11729
(631) 667-4200
(631) 667-4243
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
121406
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00432297
—
NY
01
—
P00197142
RAILROAD MEDICARE
—
Enumeration date
10/18/2005
Last updated
01/07/2016
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