Provider Demographics
NPI:1083859987
Name:CHOI, CYNTHIA EUNYE (RD)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:EUNYE
Last Name:CHOI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MISS
Other - First Name:EUNRYE
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:5907 RIDGE FORD DR
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-3646
Mailing Address - Country:US
Mailing Address - Phone:703-403-7310
Mailing Address - Fax:
Practice Address - Street 1:5907 RIDGE FORD DR
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-3646
Practice Address - Country:US
Practice Address - Phone:703-403-7310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDI100000246133VN1004X
133VN1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Oncology
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric