Doctor Name: | POYOON CHOI |
NPI Number: | 1003830944 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 15092 |
Business Practice Address: | 8635 Queens Blvd 1e Elmhurst, NY - 113734434 |
Business Phone Number: | 7182054544 |
Business Fax Number: | 7182055594 |
Mailing Address: | 44 Flamingo Rd N, ROSLYN |
State: | NY |
Postal Code: | 115762606 |
Phone Number: | 5166036323 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 03/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 15092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |