Provider Demographics
NPI:1881479251
Name:CHOI, IN HYUK (DC)
Entity type:Individual
Prefix:DR
First Name:IN HYUK
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 E PALISADE AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-1824
Mailing Address - Country:US
Mailing Address - Phone:201-362-1989
Mailing Address - Fax:
Practice Address - Street 1:640 E PALISADE AVE STE 202
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-1824
Practice Address - Country:US
Practice Address - Phone:201-362-1989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013740-01111N00000X
NJ38MC00799300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor