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NPI Code Detail

MEDICARE: YOUNG SOOK CHOI RPT

MEDICARE:   YOUNG SOOK  CHOI  RPT
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
1171100000XAcupuncturist003131NY
2261QP2000XPhysical Therapy Clinic/Center044313NY

General Provider Information

NPI Number : 1295951358
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOUNG SOOK CHOI RPT
Provider Business Mailing Address
First Line : 4312 159TH ST APT 3D
Second Line :
City : FLUSHING
State : NY
Zip : 11358-3177
Country : US
Telephone Number : 917-763-5612
Fax Number :
Provider Business Practice Location Address
First Line : 4312 159TH ST APT 3D
Second Line :
City : FLUSHING
State : NY
Zip : 11358-3177
Country : US
Telephone Number : 917-763-5612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 08/31/2021

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Directions to “ YOUNG SOOK CHOI RPT” Practice Location

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