Provider Demographics
NPI:1053555961
Name:JHO, SANG H (MD)
Entity type:Individual
Prefix:DR
First Name:SANG
Middle Name:H
Last Name:JHO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787
Mailing Address - Country:US
Mailing Address - Phone:917-568-8540
Mailing Address - Fax:949-577-4300
Practice Address - Street 1:1111 MONTAUK HWY STE 2-2
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4910
Practice Address - Country:US
Practice Address - Phone:917-568-8540
Practice Address - Fax:949-577-4300
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2020-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY252034208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery