Provider Demographics
NPI:1861743932
Name:CHO, JULIE JUHYUN (DAOM, LAC)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:JUHYUN
Last Name:CHO
Suffix:
Gender:F
Credentials:DAOM, LAC
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:CHO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DAOM, LAC
Mailing Address - Street 1:19 W 21ST ST
Mailing Address - Street 2:SUITE 904
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6805
Mailing Address - Country:US
Mailing Address - Phone:212-321-0005
Mailing Address - Fax:
Practice Address - Street 1:19 W 21ST ST
Practice Address - Street 2:SUITE 904
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6805
Practice Address - Country:US
Practice Address - Phone:212-321-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004904171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist