Provider Demographics
NPI:1881061091
Name:CHOI, ANDREA (PHARMD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HORIZON RD
Mailing Address - Street 2:APT 2003
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6651
Mailing Address - Country:US
Mailing Address - Phone:845-596-0225
Mailing Address - Fax:
Practice Address - Street 1:5 HORIZON RD
Practice Address - Street 2:APT 2003
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-6651
Practice Address - Country:US
Practice Address - Phone:845-596-0225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY59196183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist