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Individual

TAESIK CHOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 CENTER ST, MASSENA, NY 13662-1437
(315) 764-0265
(315) 764-5941
Mailing address
22 CENTER ST, PO BOX 111, MASSENA, NY 13662-1437
(315) 764-0265
(315) 764-5941

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1133471
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00636324
NY
Enumeration date
07/11/2006
Last updated
02/21/2008
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