Provider Demographics
NPI:1902968282
Name:ERIC I. CHOE, MD FACS
Entity Type:Organization
Organization Name:ERIC I. CHOE, MD FACS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:I
Authorized Official - Last Name:CHOE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-838-1212
Mailing Address - Street 1:121 E 60TH ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1117
Mailing Address - Country:US
Mailing Address - Phone:212-838-1212
Mailing Address - Fax:212-838-1712
Practice Address - Street 1:121 E 60TH ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1117
Practice Address - Country:US
Practice Address - Phone:212-838-1212
Practice Address - Fax:212-838-1712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01393071Medicaid
NYF40497Medicare UPIN
NY02L431Medicare ID - Type Unspecified
NY03601Medicare ID - Type Unspecified