Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 2886271 | NY |
NPI | 1225337595 |
---|---|
Provider Name | Daniel Choi |
First Address | Patchogue, NY 11772-3131 |
Second Address | Patchogue, NY 11772-3131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2011 |
Last Update Date | 04/02/2021 |