Healthcare Provider Details

I. General information

NPI: 1669439543
Provider Name (Legal Business Name): YOONHEE CHOI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 02/08/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 CENTER AVE STE 1A
FORT LEE NJ
07024-4612
US

IV. Provider business mailing address

1555 CENTER AVE STE 1A
FORT LEE NJ
07024-4612
US

V. Phone/Fax

Practice location:
  • Phone: 201-224-3344
  • Fax:
Mailing address:
  • Phone: 201-224-3344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA07255400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: