Provider Demographics
NPI:1164770426
Name:CHOI, SUNGMIN (PHARM D)
Entity Type:Individual
Prefix:
First Name:SUNGMIN
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 E 18TH ST APT C2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3829
Mailing Address - Country:US
Mailing Address - Phone:347-342-8882
Mailing Address - Fax:
Practice Address - Street 1:2050 E 18TH ST APT C2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3829
Practice Address - Country:US
Practice Address - Phone:347-342-8882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist