Individual
SU CHONG CHOE-BAEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3330 61ST ST, #402, WOODSIDE, NY 11377-2234
(646) 239-0117
Mailing address
3330 61ST ST, #402, WOODSIDE, NY 11377-2234
(646) 239-0117
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
014276
NY
Other
Enumeration date
01/17/2010
Last updated
03/15/2010
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