Basic Information
| Provider Information | |||||||||
| NPI: | 1497799084 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHOI | ||||||||
| FirstName: | SEWNG | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 156 CORLISS AVE | ||||||||
| Address2: | SUITE 107 | ||||||||
| City: | JOHNSON CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 137902060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077636735 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 156 CORLISS AVE | ||||||||
| Address2: | SUITE 107 | ||||||||
| City: | JOHNSON CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 137902060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077636735 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2006 | ||||||||
| LastUpdateDate: | 10/02/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 234334 | NY | N | Other Service Providers | Specialist | 207L00000X | 234334 | NY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.