Individual
EDEN HYUNSUH CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 RANO BLVD APT 3C29, VESTAL, NY 13850-2771
(607) 760-1529
Mailing address
200 RANO BLVD APT 3C29, VESTAL, NY 13850-2771
(607) 760-1529
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F310868
NY
363LG0600X
Gerontology Nurse Practitioner
F310868
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
F310868
NY
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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