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NPI Code Detail

MEDICARE: YEAHSEON CHOI BRUININGS MD

MEDICARE:   YEAHSEON CHOI BRUININGS  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
1207Q00000XFamily Medicine Physician226709NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770580235
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEAHSEON CHOI BRUININGS MD
Provider Business Mailing Address
First Line : 3438 BELL BLVD
Second Line : PH FLOOR 5
City : BAYSIDE
State : NY
Zip : 11361-1730
Country : US
Telephone Number : 718-360-5768
Fax Number : 718-224-5885
Provider Business Practice Location Address
First Line : 3438 BELL BLVD
Second Line : PH FLOOR 5
City : BAYSIDE
State : NY
Zip : 11361-1730
Country : US
Telephone Number : 718-360-5768
Fax Number : 718-224-5885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 01/21/2013

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Directions to “ YEAHSEON CHOI BRUININGS MD” Practice Location

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