Healthcare Provider Details

I. General information

NPI: 1841127529
Provider Name (Legal Business Name): MINDY CHOI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 AMBOY RD
STATEN ISLAND NY
10307-1444
US

IV. Provider business mailing address

211 GOWER ST
STATEN ISLAND NY
10314-5311
US

V. Phone/Fax

Practice location:
  • Phone: 718-569-5672
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number073769-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: