Provider Demographics
NPI:1659544286
Name:CHOI, DENNIS W (MD, PHD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:W
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD, PHD
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Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HEALTH SCIENCES CENTER 12 020
Mailing Address - Street 2:STONY BROOK UNIVERSITY MEDICAL CENTER
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:631-444-7691
Mailing Address - Fax:631-444-8302
Practice Address - Street 1:HEALTH SCIENCES CENTER 12 020
Practice Address - Street 2:STONY BROOK UNIVERSITY MEDICAL CENTER
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-7691
Practice Address - Fax:631-444-8302
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR5P792084N0400X
NY267537-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology