MEDICARE: CHLOE EUNSUNG CHOI NP

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	363LF0000X	Family Nurse Practitioner	688672	NY

General Provider Information

NPI Number	:	1205336559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE EUNSUNG CHOI NP

Provider Business Mailing Address
First Line	:	3530 64TH ST
Second Line	:
City	:	WOODSIDE
State	:	NY
Zip	:	11377-2354
Country	:	US
Telephone Number	:	718-205-6561
Fax Number	:	718-205-4815

Provider Business Practice Location Address
First Line	:	3530 64TH ST
Second Line	:
City	:	WOODSIDE
State	:	NY
Zip	:	11377-2354
Country	:	US
Telephone Number	:	718-205-6561
Fax Number	:	718-205-4815

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

Provider Enumeration Date	:	02/13/2018
Last Update Date	:	02/04/2026

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