Provider Demographics
NPI:1386014686
Name:CHOI, YURI
Entity type:Individual
Prefix:
First Name:YURI
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4207 163RD ST
Mailing Address - Street 2:1FL
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-2617
Mailing Address - Country:US
Mailing Address - Phone:917-822-2285
Mailing Address - Fax:
Practice Address - Street 1:4207 163RD ST
Practice Address - Street 2:1FL
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-2617
Practice Address - Country:US
Practice Address - Phone:917-822-2285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25 005338171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist