1447230677 NPI number — DR. HEE K CHOI M.D.

Table of content: DR. HEE K CHOI M.D. (NPI 1447230677)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447230677 NPI number — DR. HEE K CHOI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHOI
Provider First Name:
HEE
Provider Middle Name:
K
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447230677
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2600
Provider Second Line Business Mailing Address:
549 FOURTH STREET
Provider Business Mailing Address City Name:
NIAGARA FALLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14302-1530
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-285-2826
Provider Business Mailing Address Fax Number:
716-285-4491

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
549 4TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NIAGARA FALLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14301-1530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-285-2826
Provider Business Practice Location Address Fax Number:
716-285-4491
Provider Enumeration Date:
01/23/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  122962 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00606708 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".