Healthcare Provider Details

I. General information

NPI: 1124952676
Provider Name (Legal Business Name): ALBAR CHOWDHURY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 GRAND CONCOURSE
BRONX NY
10453-8202
US

IV. Provider business mailing address

20214 100TH AVE
JAMAICA NY
11423-3408
US

V. Phone/Fax

Practice location:
  • Phone: 718-901-8410
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: