Provider Demographics
NPI:1063814945
Name:CHOI, ESTHER HEEWON (PHARMD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:HEEWON
Last Name:CHOI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16705 12TH AVE APT 8B
Mailing Address - Street 2:
Mailing Address - City:BEECHHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11357-2208
Mailing Address - Country:US
Mailing Address - Phone:646-247-4332
Mailing Address - Fax:
Practice Address - Street 1:15626 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5034
Practice Address - Country:US
Practice Address - Phone:718-661-4440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist