Healthcare Provider Details

I. General information

NPI: 1821104936
Provider Name (Legal Business Name): DONG CHOE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 12/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 NORTH ROAD
POUGHKEEPSIE NY
12601-1328
US

IV. Provider business mailing address

8 WAGON WHEEL DR
NEW CITY NY
10956-1315
US

V. Phone/Fax

Practice location:
  • Phone: 845-486-2703
  • Fax:
Mailing address:
  • Phone: 845-634-8711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number110450
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: