Provider Demographics
NPI:1013964360
Name:CHOI, MIHYE (MD)
Entity Type:Individual
Prefix:
First Name:MIHYE
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 E 47TH ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2303
Mailing Address - Country:US
Mailing Address - Phone:212-263-6004
Mailing Address - Fax:212-263-6319
Practice Address - Street 1:305 E 47TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-2303
Practice Address - Country:US
Practice Address - Phone:212-263-6004
Practice Address - Fax:212-263-6319
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184202-1208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY26L442Medicare ID - Type Unspecified