Provider Demographics
NPI:1659000107
Name:CHOI, RYAN JINHYUK (PT, DPT)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:JINHYUK
Last Name:CHOI
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 EDGEWATER TOWNE CTR
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-2222
Mailing Address - Country:US
Mailing Address - Phone:201-370-1278
Mailing Address - Fax:
Practice Address - Street 1:119 W 23RD ST STE 804
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-6344
Practice Address - Country:US
Practice Address - Phone:212-691-4833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist