Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 42710 | NY |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 42710 | NY |
NPI | 1326034380 |
---|---|
Provider Name | Dr. Steven H Cho |
First Address | New York, NY 10022-1117 |
Second Address | New York, NY 10022-1117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 14/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2042991 | (05) | NY |
U59956 | (02) | NY |