Provider Demographics
NPI:1417125212
Name:CHOI, LILIAN F (LAC)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:F
Last Name:CHOI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4932 HORATIO PKWY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-1522
Mailing Address - Country:US
Mailing Address - Phone:917-653-0308
Mailing Address - Fax:718-281-4661
Practice Address - Street 1:4932 HORATIO PKWY
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-1522
Practice Address - Country:US
Practice Address - Phone:917-653-0308
Practice Address - Fax:718-281-4661
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003671171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist