Healthcare Provider Details
I. General information
NPI: 1437337896
Provider Name (Legal Business Name): HEALTH CHOICE MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/07/2008
Last Update Date: 02/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7-8 CHATHAM SQUARE SUITE C-1
NEW YORK NY
10038-1000
US
IV. Provider business mailing address
7-8 CHATHAM SQUARE SUITE C-1
NEW YORK NY
10038-1000
US
V. Phone/Fax
- Phone: 212-227-4349
- Fax: 212-227-3216
- Phone: 212-227-4349
- Fax: 212-227-3216
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 226582 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 227565 |
| License Number State | NY |
VIII. Authorized Official
Name:
ZAW
AUNG
Title or Position: MEMBER
Credential: MD
Phone: 212-227-4349