Individual
SONG EIE CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 267-5916
Mailing address
1275 PALISADE AVE, FORT LEE, NJ 07024-6422
(201) 655-1289
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
019609
NY
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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