Kim, Young Choi
Kim, Young Choi is an individual health care provider with primary practice located at 267 Grant St , Bridgeport CT 06610-2805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Kim, Young Choi can be contacted via phone (203) 384-3157.Contact Information
Primary practice address
267 Grant St
Bridgeport CT 06610-2805
Phone: (203) 384-3157
Fax: (203) 384-3237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 111947 | New York |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 035799 | Connecticut |
Profile Details
| NPI number | 1245212596 |
|---|---|
| LBN Legal business name | Kim, Young Choi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jul 13th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245212596 | NPPES |
| Connecticut | MEDICAID | 001357997 |
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