Provider Demographics
NPI:1740229756
Name:CHOI, WOO JUNG (RPH)
Entity Type:Individual
Prefix:MISS
First Name:WOO JUNG
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3403 57TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-2123
Mailing Address - Country:US
Mailing Address - Phone:718-507-1343
Mailing Address - Fax:
Practice Address - Street 1:4469 21ST ST
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5112
Practice Address - Country:US
Practice Address - Phone:718-729-6300
Practice Address - Fax:718-729-6392
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049526183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist