| Yun Jae Cho Medical Pc | |
|
3830 Parsons Blvd Ste 1d Flushing NY 11354-5841 | |
| (187) 621-7107 | |
| (718) 762-1753 |
| Full Name | Yun Jae Cho Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3830 Parsons Blvd Ste 1d, Flushing, New York |
| Authorized Official Name and Position | Yun Jae Cho (PRESIDENT) |
| Authorized Official Contact | 5859759756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yun Jae Cho Medical Pc 3830 Parsons Blvd Ste 1d Flushing NY 11354-5841 Ph: (585) 975-9756 | Yun Jae Cho Medical Pc 3830 Parsons Blvd Ste 1d Flushing NY 11354-5841 Ph: (187) 621-7107 |
| NPI Number | 1679234702 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 01/31/2024 |
| Medicare PECOS PAC ID | 5395120364 |
|---|---|
| Medicare Enrollment ID | O20220913000784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679234702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Yun Jae Cho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568826568 PECOS PAC ID: 6800216839 Enrollment ID: I20201013003028 |
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