Individual
MISS SHARMIN CHOUDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7506 LIBERTY AVE, OZONE PARK, NY 11417-1034
(718) 848-9100
Mailing address
94-31 LEFFERTS BLVD, RICHMOND HILL, NY 11419
(646) 575-3388
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016234-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016234-1
REGISTRATION LISENCE NUMBER
NY
Enumeration date
03/07/2013
Last updated
03/07/2013
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