Provider Demographics
NPI:1447464185
Name:CHOI MEDICAL SERVICES PLLC
Entity type:Organization
Organization Name:CHOI MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-762-1710
Mailing Address - Street 1:3834 PARSONS BLVD
Mailing Address - Street 2:SUITE# 1D
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5832
Mailing Address - Country:US
Mailing Address - Phone:718-762-1710
Mailing Address - Fax:718-762-1753
Practice Address - Street 1:3834 PARSONS BLVD
Practice Address - Street 2:SUITE# 1D
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5832
Practice Address - Country:US
Practice Address - Phone:718-762-1710
Practice Address - Fax:718-762-1753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163896207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02278408Medicaid
NY02278408Medicaid
NYD80895Medicare UPIN