Provider Demographics
NPI:1295131613
Name:CHOI, HOSUK (RPT)
Entity type:Individual
Prefix:
First Name:HOSUK
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13228 41ST AVE
Mailing Address - Street 2:STE 2D
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3995
Mailing Address - Country:US
Mailing Address - Phone:718-461-5900
Mailing Address - Fax:718-461-4833
Practice Address - Street 1:13228 41ST AVE
Practice Address - Street 2:STE 2D
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3995
Practice Address - Country:US
Practice Address - Phone:718-461-5900
Practice Address - Fax:718-461-4833
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-12
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035844225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY035844OtherLICENSE