Provider Demographics
NPI:1528534633
Name:CHOI, CHRISTOPHER (PHARMD, CSP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:PHARMD, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7563 182ND ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1613
Mailing Address - Country:US
Mailing Address - Phone:646-662-3365
Mailing Address - Fax:
Practice Address - Street 1:225 COMMUNITY DR STE 100
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5506
Practice Address - Country:US
Practice Address - Phone:877-662-6633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056874183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist