Choi, Susan Wollin

Choi, Susan Wollin is an individual health care provider with primary practice located at 1246 State Route 38 , Owego NY 13827-3217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Choi, Susan Wollin can be contacted via phone (607) 687-6101.

Contact Information

Primary practice address
1246 State Route 38 Owego NY 13827-3217
Fax: (607) 687-5994
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD042209E Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 181337-1 New York

Profile Details

NPI number 1003880055
LBN Legal business name Choi, Susan Wollin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 31st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003880055 NPPES
New York MEDICAID 01222040
New York Other 110224587
New York Other CC8362
New York MEDICAID 0012258470003

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