Organization
CHOWDHURY MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASM SHAH ALAM CHOWDHURY M.D (M.D)
(718) 277-2700
Entity
Organization
Contact information
Practice address
1084 LIBERTY AVE, BROOKLYN, NY 11208-2923
(718) 277-2700
(718) 277-4191
Mailing address
1084 LIBERTY AVE, BROOKLYN, NY 11208-2923
(718) 277-2700
(718) 277-4191
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025993699
—
NY
01
—
211248
NY STATE LICENSE
NY
01
—
607526764
TAX I'D
NY
Enumeration date
09/28/2015
Last updated
09/28/2015
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