Provider Demographics
NPI:1497926661
Name:CHOAI, ABRAHAM BERTI (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:ABRAHAM
Middle Name:BERTI
Last Name:CHOAI
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 KAKIAT CT
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:NY
Mailing Address - Zip Code:10901-2803
Mailing Address - Country:US
Mailing Address - Phone:914-772-4262
Mailing Address - Fax:
Practice Address - Street 1:83-067 AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372
Practice Address - Country:US
Practice Address - Phone:718-424-0043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6254-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician