Provider Demographics
NPI:1528101607
Name:CHOI, BENJAMIN B (MD)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:B
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2448
Mailing Address - Street 2:LENOX HILL STATION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-535-5888
Mailing Address - Fax:212-535-0961
Practice Address - Street 1:242 EAST 72ND STREET
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-535-5888
Practice Address - Fax:212-535-0961
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202976208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
134194987OtherUNITED HEALTHCARE
4C1610OtherPHS
3S5222OtherEMPIRE BLUE CROSS
P2107418OtherOXFORD ID
2683413OtherAETNA US HEALTHCARE
NJ062018Medicare PIN
2683413OtherAETNA US HEALTHCARE
H23613Medicare UPIN