Organization
4016 ELMHURST MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHOUDHURY HASAN (MD)
(917) 336-8422
Entity
Organization
Contact information
Practice address
4016 74TH ST, ELMHURST, NY 11373-5602
(718) 682-7090
Mailing address
4016 74TH ST, ELMHURST, NY 11373-5602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
12/09/2022
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