Provider Demographics
NPI:1447573639
Name:CHO, DONG MIN (PHARMD)
Entity type:Individual
Prefix:
First Name:DONG MIN
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-5426
Mailing Address - Country:US
Mailing Address - Phone:516-845-5235
Mailing Address - Fax:516-845-5263
Practice Address - Street 1:918 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-5426
Practice Address - Country:US
Practice Address - Phone:516-845-5235
Practice Address - Fax:516-845-5263
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050805183500000X
NY050805-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist