Provider Demographics
NPI:1528050762
Name:CHOI, JAI HYUK (MD)
Entity type:Individual
Prefix:
First Name:JAI
Middle Name:HYUK
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4500 PARSONS BLVD
Mailing Address - Street 2:FLUSHING HOSPITAL DEPARTMENT OF RADIOLOGY
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2205
Mailing Address - Country:US
Mailing Address - Phone:718-670-3116
Mailing Address - Fax:718-670-3039
Practice Address - Street 1:4500 PARSONS BLVD
Practice Address - Street 2:FLUSHING HOSPITAL DEPARTMENT OF RADIOLOGY
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2205
Practice Address - Country:US
Practice Address - Phone:718-670-3116
Practice Address - Fax:718-670-3039
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2009-12-22
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Provider Licenses
StateLicense IDTaxonomies
NY2318822085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02576621Medicaid
NY686T91Medicare ID - Type Unspecified
NY02576621Medicaid