MEDICARE: CHRISTINE CHOI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1164086492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE CHOI

Provider Business Mailing Address
First Line	:	70 CHRISTOPHER COLUMBUS DR APT 3009
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-7060
Country	:	US
Telephone Number	:	813-597-5535
Fax Number	:

Provider Business Practice Location Address
First Line	:	87 RICHARDSON STREET
Second Line	:	STUDIO 11 (2ND FLOOR)
City	:	BROOKLYN
State	:	NY
Zip	:	11211-1306
Country	:	US
Telephone Number	:	347-952-4750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2019
Last Update Date	:	04/22/2019

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Directions to “ CHRISTINE CHOI ” Practice Location

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