MEDICARE: JASON J. CHOI MD

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	207L00000X	Anesthesiology Physician	264923	NY

General Provider Information

NPI Number	:	1740442367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON J. CHOI MD

Provider Business Mailing Address
First Line	:	PO BOX 551420
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33355-1420
Country	:	US
Telephone Number	:	800-243-3839
Fax Number	:	855-851-4405

Provider Business Practice Location Address
First Line	:	800 WESTCHESTER AVE
Second Line	:	STE. N-511
City	:	RYE BROOK
State	:	NY
Zip	:	10573-1388
Country	:	US
Telephone Number	:	914-428-5454
Fax Number	:

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

Provider Enumeration Date	:	06/25/2008
Last Update Date	:	12/22/2016

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