Basic Information
Provider Information
NPI: 1235586652
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOI
FirstName: DANIEL
MiddleName: CHIMIN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 520 E 70TH ST # 341
Address2:  
City: NEW YORK
State: NY
PostalCode: 100219800
CountryCode: US
TelephoneNumber: 6469622700
FaxNumber: 6469620115
Practice Location
Address1: 520 E 70TH ST # 341
Address2:  
City: NEW YORK
State: NY
PostalCode: 100219800
CountryCode: US
TelephoneNumber: 6469622357
FaxNumber: 6469620115
Other Information
ProviderEnumerationDate: 05/16/2016
LastUpdateDate: 10/24/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X297878NYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0000X297878NYY Allopathic & Osteopathic PhysiciansInternal MedicineHematology

No ID Information.


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