Yang, Chul Jo

Yang, Chul Jo is an individual health care provider with primary practice located at 115 Genesee St , New Hartford NY 13413-2323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Yang, Chul Jo can be contacted via phone (315) 724-1410.

Contact Information

Primary practice address
115 Genesee St New Hartford NY 13413-2323
Phone: (315) 724-1410
Fax: (315) 724-1449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 113888 New York

Profile Details

NPI number 1861495939
LBN Legal business name Yang, Chul Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 21st, 2009 - about 15 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 1861495939 NPPES
Other 495012 MVP
MEDICAID 00208186 MVP

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