Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 022786 | NY |
Y | 103T00000X | Psychologist | 022786 | NY |
NPI | 1013497205 |
---|---|
Provider Name | Dr. Jihee Cho |
First Address | Long Island City, NY 11101-5077 |
Second Address | Long Island City, NY 11101-5077 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2018 |
Last Update Date | 02/01/2020 |