Provider Demographics
NPI:1780611376
Name:CHOI, JULIE C (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:C
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 1:55 PALMER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3403
Mailing Address - Country:US
Mailing Address - Phone:914-204-1112
Mailing Address - Fax:914-242-8130
Practice Address - Street 1:55 PALMER AVE
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3403
Practice Address - Country:US
Practice Address - Phone:914-204-1112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1940572085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0000000106124OtherGHI HMO PROVIDER ID NUMBE
001984OtherCOMMUNITY CHOICE PIN#
1236475OtherAETNA PPO PIN
NY222794OtherUS FAMILY HEALTH PLAN
NY4099420OtherGHI PPO PROVIDER NUMBER
P3673864OtherOXFORD HEALTH PLAN PIN#
7562022OtherAETNA HMO PIN
EMPIRE BCBSOther2486E1
NYP00822562OtherRAILROAD MEDICARE
390849OtherMVP
5C6293OtherHEALTHNET PIN #
CDPHP PROVIDER PIN#Other10053520
NYP3706854OtherOXFORD
NY02120432Medicaid
390849OtherMVP
NY4099420OtherGHI PPO PROVIDER NUMBER
NY4H4591Medicare PIN
NY02120432Medicaid