Basic Information
Provider Information
NPI: 1134523285
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOI
FirstName: HYEKYOUNG
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1111 AMSTERDAM AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100251716
CountryCode: US
TelephoneNumber: 2125235918
FaxNumber: 2125232842
Practice Location
Address1: 1111 AMSTERDAM AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100251716
CountryCode: US
TelephoneNumber: 2125235918
FaxNumber: 2125232842
Other Information
ProviderEnumerationDate: 10/17/2014
LastUpdateDate: 05/01/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XF306275-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
363LA2200X26NJ00456400NJN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
363LG0600XF340870-1NYN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology

No ID Information.


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