Provider Demographics
NPI:1104818640
Name:CHOI, ALEXANDER K (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:K
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:38-34 PARSONS BLVD.
Mailing Address - Street 2:SUITE #1D
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-6101
Mailing Address - Country:US
Mailing Address - Phone:718-762-1710
Mailing Address - Fax:718-762-1753
Practice Address - Street 1:38-34 PARSONS BLVD.
Practice Address - Street 2:SUITE #1D
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-6101
Practice Address - Country:US
Practice Address - Phone:718-762-1710
Practice Address - Fax:718-762-1753
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163896-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02278408Medicaid
NYD80895Medicare UPIN
NY02278408Medicaid