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General NPI Number Information
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NPI Number | 1699382143
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Entity Type | Individual
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Provider Name | WEON JAE CHOI DDS
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Gender | Male
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 990 STEWART AVE STE 450
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City | GARDEN CITY
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State | NY
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Zip | 11530-4857
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Country | US
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Telephone | 516-730-9954
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Fax |
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Provider Business Mailing Address
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Address Line | 22 N 6TH ST APT 9O
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City | BROOKLYN
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State | NY
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Zip | 11249-3083
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 061431
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License Number State | NY
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