MEDICARE: LILIAN F CHOI L.AC.

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	171100000X	Acupuncturist	003671	NY

General Provider Information

NPI Number	:	1417125212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIAN F CHOI L.AC.

Provider Business Mailing Address
First Line	:	4932 HORATIO PKWY
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-1522
Country	:	US
Telephone Number	:	917-653-0308
Fax Number	:	718-281-4661

Provider Business Practice Location Address
First Line	:	4932 HORATIO PKWY
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-1522
Country	:	US
Telephone Number	:	917-653-0308
Fax Number	:	718-281-4661

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

Provider Enumeration Date	:	02/14/2008
Last Update Date	:	02/14/2008

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