Suk, Chang Ho

Suk, Chang Ho is an individual health care provider with primary practice located at 41 61 Kissena Blvd Suite # 27, Flushing NY 11355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Suk, Chang Ho can be contacted via phone (718) 461-6212.

Contact Information

Primary practice address
41 61 Kissena Blvd Suite # 27 Flushing NY 11355
Phone: (718) 461-6212
Fax: (718) 539-1238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 151095 New York

Profile Details

NPI number 1447316104
LBN Legal business name Suk, Chang Ho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1447316104 NPPES
New York MEDICAID 00837834

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