Healthcare Provider Details

I. General information

NPI: 1205507738
Provider Name (Legal Business Name): EAST COAST MEDICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1888 WESTCHESTER AVE
BRONX NY
10472-3000
US

IV. Provider business mailing address

1888 WESTCHESTER AVE
BRONX NY
10472-3000
US

V. Phone/Fax

Practice location:
  • Phone: 917-634-9601
  • Fax: 347-227-1368
Mailing address:
  • Phone: 917-634-9601
  • Fax: 347-227-1368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ATAUL H CHOWDHURY
Title or Position: CEO
Credential: MD
Phone: 917-634-9601