Healthcare Provider Details

I. General information

NPI: 1326860453
Provider Name (Legal Business Name): AMBER W CHOUDHRY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 WESTCHESTER AVE
WEST HARRISON NY
10604-3200
US

IV. Provider business mailing address

278 RIVENDELL CT
MELVILLE NY
11747-5350
US

V. Phone/Fax

Practice location:
  • Phone: 914-367-7015
  • Fax:
Mailing address:
  • Phone: 631-697-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03887200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number064050
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: