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Organization
QUALITY INTERNAL MEDICINE AND GERIATRICS
Active
Organization
QUALITY INTERNAL MEDICINE AND GERIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAHJAHAN NISAR CHAUDHRY MD (OWNER/PRESIDENT)
(972) 971-2706
Entity
Organization
Contact information
Practice address
211 E 79TH ST, NEW YORK, NY 10075-0819
(212) 879-1600
Mailing address
PO BOX 20637, HUNTINGTON STATION, NY 11746-0860
(972) 071-2706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
238485-1
NY
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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