MEDICARE: SANJIDAH CHOWDHURY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1952131195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANJIDAH CHOWDHURY

Provider Business Mailing Address
First Line	:	9002 210TH PL
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11428-1023
Country	:	US
Telephone Number	:	917-208-7996
Fax Number	:

Provider Business Practice Location Address
First Line	:	9002 210TH PL
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11428-1023
Country	:	US
Telephone Number	:	917-208-7996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2024
Last Update Date	:	08/02/2024

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Directions to “ SANJIDAH CHOWDHURY ” Practice Location

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