MEDICARE: JIEUN 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	183500000X	Pharmacist	072597	NY

General Provider Information

NPI Number	:	1467348664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIEUN CHOI

Provider Business Mailing Address
First Line	:	17 JOHN ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10038-4010
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 JOHN ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10038-4010
Country	:	US
Telephone Number	:	212-619-7181
Fax Number	:

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

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	06/16/2025

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Directions to “ JIEUN CHOI ” Practice Location

Language	Start Address	Practice Location

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