Provider Demographics
NPI:1508429663
Name:CHOI, ANDREW YOUNG (PHD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:YOUNG
Last Name:CHOI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:ANDY
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:118 E 124TH ST
Mailing Address - Street 2:PO BOX 29
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-0029
Mailing Address - Country:US
Mailing Address - Phone:213-335-2282
Mailing Address - Fax:
Practice Address - Street 1:118 E 124TH ST
Practice Address - Street 2:PO BOX 29
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-0029
Practice Address - Country:US
Practice Address - Phone:213-335-2282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-15
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY200001465103TH0100X
HI1916103TH0100X
CA33136103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service