| Samuel Cho, M.d., P.c. | |
|
15011 Northern Blvd Flushing NY 11354-3893 | |
| (718) 460-9640 | |
| (718) 460-1451 |
| Full Name | Samuel Cho, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15011 Northern Blvd, Flushing, New York |
| Authorized Official Name and Position | Samuel Cho (PRESIDENT) |
| Authorized Official Contact | 7184609640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Cho, M.d., P.c. Po Box 270 Massapequa Park NY 11762-0270 Ph: (631) 264-2035 | Samuel Cho, M.d., P.c. 15011 Northern Blvd Flushing NY 11354-3893 Ph: (718) 460-9640 |
| NPI Number | 1598954489 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 12/16/2014 |
| Medicare PECOS PAC ID | 0648287961 |
|---|---|
| Medicare Enrollment ID | O20090129000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598954489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 187204 (New York) | Primary |
| Provider Name | Samuel Cho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801839501 PECOS PAC ID: 3274540596 Enrollment ID: I20060313000018 |
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