Individual
TAZNEEN ITTAKA CHOWDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2976 NORTHERN BLVD FL 2, LONG ISLAND CITY, NY 11101-2829
(862) 264-7291
Mailing address
2976 NORTHERN BLVD FL 2, LONG ISLAND CITY, NY 11101-2829
(862) 264-7291
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402538-1
NY
Other
Enumeration date
06/11/2019
Last updated
10/05/2022
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