Individual
SHAMMI CHOUDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
7017 37TH AVE, JACKSON HEIGHTS, NY 11372-3922
(646) 575-3296
Mailing address
9431 LEFFERTS BLVD, SOUTH RICHMOND HILL, NY 11419-1221
(646) 575-3296
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017546
NY
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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