Healthcare Provider Details

I. General information

NPI: 1477614436
Provider Name (Legal Business Name): JANET CHOI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 06/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1790 BROADWAY 4TH FLOOR
NEW YORK NY
10019-1412
US

IV. Provider business mailing address

1790 BROADWAY 4TH FLOOR
NEW YORK NY
10019-1412
US

V. Phone/Fax

Practice location:
  • Phone: 646-756-8282
  • Fax: 646-756-8280
Mailing address:
  • Phone: 646-756-8282
  • Fax: 646-756-8280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number2077941
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: