Provider Demographics
NPI:1033452735
Name:CHOE, DONG WON (MD)
Entity Type:Individual
Prefix:DR
First Name:DONG
Middle Name:WON
Last Name:CHOE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 3RD AVE
Mailing Address - Street 2:APT 525
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4299
Mailing Address - Country:US
Mailing Address - Phone:917-655-6232
Mailing Address - Fax:917-655-6232
Practice Address - Street 1:1300 ROANOKE AVE
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2031
Practice Address - Country:US
Practice Address - Phone:631-548-6200
Practice Address - Fax:631-548-6200
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NY284406207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program