Individual
MISS ADIBA CHOUDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
276 SPRINGDALE DR, RONKONKOMA, NY 11779-6061
(631) 575-7176
Mailing address
276 SPRINGDALE DR, RONKONKOMA, NY 11779-6061
(631) 575-7176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
755311
NY
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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