Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 098412-1 | NY |
NPI | 1003392994 |
---|---|
Provider Name | Ms. Eun Choi |
First Address | Forest Hills, NY 11375-3694 |
Second Address | Forest Hills, NY 11375-3694 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2018 |
Last Update Date | 14/07/2018 |