Organization
AZIZ CHAUDRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZIZ CHAUDRY MD (PRESIDENT)
(631) 928-1830
Entity
Organization
Contact information
Practice address
2B MEDICAL PARK DRIVE, PORT JEFFERSON STATION, NY 11776
(631) 928-1830
(631) 928-1830
Mailing address
2B MEDICAL PARK DRIVE, PORT JEFFERSON STATION, NY 11776
(631) 928-1830
(631) 928-1830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
123041
NY
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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