Individual
FARZANA CHAUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 S 4TH ST, SUITE 600, FULTON, NY 13069-2904
(315) 598-4790
(315) 593-6195
Mailing address
61 DELANO ST, PULASKI, NY 13142-1400
(315) 298-6569
(315) 298-7831
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
182089
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355266
—
NY
05
—
02997217
—
NY
Enumeration date
09/21/2006
Last updated
09/24/2014
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