Provider Demographics
NPI:1598858730
Name:CHOE, HISOO J (MD)
Entity Type:Individual
Prefix:
First Name:HISOO
Middle Name:J
Last Name:CHOE
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:75 W END AVE
Mailing Address - Street 2:APT C22J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7853
Mailing Address - Country:US
Mailing Address - Phone:718-904-2965
Mailing Address - Fax:718-904-2968
Practice Address - Street 1:WEILER - DEPT. OF RADIOLOGY
Practice Address - Street 2:1825 EASTCHESTER ROAD
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-904-2965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1939992085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology