Cho, Jane Jimin

Cho, Jane Jimin is an sole proprietor health care provider with primary practice located at 1645 Deer Park Ave , Deer Park NY 11729-5202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Cho, Jane Jimin can be contacted via phone (631) 667-4200.

Contact Information

Primary practice address
1645 Deer Park Ave Deer Park NY 11729-5202
Phone: (631) 667-4200
Fax: (631) 667-4243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 121406 New York

Profile Details

NPI number 1073502415
LBN Legal business name Cho, Jane Jimin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Jan 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073502415 NPPES
New York MEDICAID 00432297
New York Other P00197142

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