Provider Demographics
NPI:1386232809
Name:CHOI OPHTHALMOLOGY PLLC
Entity Type:Organization
Organization Name:CHOI OPHTHALMOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-491-3769
Mailing Address - Street 1:26 FIREMENS MEMORIAL DR STE 111
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3576
Mailing Address - Country:US
Mailing Address - Phone:845-501-9292
Mailing Address - Fax:845-625-2827
Practice Address - Street 1:26 FIREMENS MEMORIAL DR STE 111
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3576
Practice Address - Country:US
Practice Address - Phone:845-501-9292
Practice Address - Fax:845-625-2827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-10
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Single Specialty