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NPI Code Detail

MEDICARE: MR. CHULMIN CHOI

MEDICARE: MR. CHULMIN 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
1171100000XAcupuncturist004935NY

General Provider Information

NPI Number : 1700441946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHULMIN CHOI
Provider Business Mailing Address
First Line : 1 OLD MIDDLETOWN RD # 1D
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2637
Country : US
Telephone Number : 347-977-0010
Fax Number :
Provider Business Practice Location Address
First Line : 1 OLD MIDDLETOWN RD # 1D
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2637
Country : US
Telephone Number : 347-977-0010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2019
Last Update Date : 05/02/2019

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