Provider Demographics
NPI:1417251927
Name:CHOI, SANDRA (CRNA)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:CHOI
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Gender:F
Credentials:CRNA
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Mailing Address - Street 1:3998 FAIR RIDGE DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2921
Mailing Address - Country:US
Mailing Address - Phone:703-295-9360
Mailing Address - Fax:703-766-9725
Practice Address - Street 1:170 WILLIAM ST
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2612
Practice Address - Country:US
Practice Address - Phone:212-312-5244
Practice Address - Fax:703-766-9725
Is Sole Proprietor?:No
Enumeration Date:2010-12-28
Last Update Date:2015-03-11
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Provider Licenses
StateLicense IDTaxonomies
NY543749164W00000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No164W00000XNursing Service ProvidersLicensed Practical Nurse