Individual
MR. CHANG YOUNG CHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-3282
Mailing address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-3282
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401744
NY
Other
Enumeration date
10/21/2015
Last updated
10/26/2015
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