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Individual

JAIRAJ CHAUDHRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
19 BRADHURST AVE, SUITE 700, HAWTHORNE, NY 10532-2140
(914) 593-7874
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-9817

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
143517
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00900014
NY
Enumeration date
07/28/2005
Last updated
05/24/2021
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