Provider Demographics
NPI:1174698302
Name:RHO, DAE SIK (MD)
Entity type:Individual
Prefix:DR
First Name:DAE SIK
Middle Name:
Last Name:RHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E 77TH ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-1850
Mailing Address - Country:US
Mailing Address - Phone:212-439-0008
Mailing Address - Fax:212-439-1800
Practice Address - Street 1:100 E 77TH ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-1850
Practice Address - Country:US
Practice Address - Phone:212-439-0008
Practice Address - Fax:212-439-1800
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121762174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1000001271OtherAFFINITY HEALTHCARE
NYD0228762Medicaid
NY0955521OtherAETNA US HEALTHCARE
NY0982198OtherCIGNA
NY010121762NY01OtherANTHEM HEALTH
NY0025061OtherGHI
NY15676POtherHIP
NY4350AOtherMAGNACARE
NY2100044OtherCHUBB
NY300211OtherEMPIRE BCBS
NYP382307OtherOXFORD
NY00026350OtherINDEPENDENT HEALTH
NY1214342460OtherFIRST HEALTH
NY164799OtherELDER PLAN
NY582159OtherUNITED HEALTHCARE
NY010121762NY01OtherANTHEM HEALTH
NY164799OtherELDER PLAN