Provider Demographics
NPI:1831441880
Name:CHO, CHUN KOUNG (RPH)
Entity type:Individual
Prefix:
First Name:CHUN
Middle Name:KOUNG
Last Name:CHO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HARBOR VIEW DR APT 201
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-4714
Mailing Address - Country:US
Mailing Address - Phone:516-944-5938
Mailing Address - Fax:
Practice Address - Street 1:100 HARBOR VIEW DR APT 201
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-4714
Practice Address - Country:US
Practice Address - Phone:516-944-5938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033742-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY033742-1OtherBOARD OF PHARMACY - NEW YORK STATE