Individual
PURABI CHOUDHURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
(718) 361-5100
Mailing address
8435 256TH ST, FLORAL PARK, NY 11001-1001
(718) 347-7942
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
192763
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192763
STATE LICENSE
NY
Enumeration date
04/13/2007
Last updated
07/08/2007
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