Healthcare Provider Details

I. General information

NPI: 1306537709
Provider Name (Legal Business Name): CHOWDHURY FARIHA ZAMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 ROUTE 300
NEWBURGH NY
12550-5003
US

IV. Provider business mailing address

1200 ROUTE 300
NEWBURGH NY
12550-5003
US

V. Phone/Fax

Practice location:
  • Phone: 845-725-0100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number347641
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: