MEDICARE: HINA CHAUDHRI

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	183500000X	Pharmacist	064157	NY

General Provider Information

NPI Number	:	1295215465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HINA CHAUDHRI

Provider Business Mailing Address
First Line	:	3049 CRESCENT ST APT H1D5
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-3229
Country	:	US
Telephone Number	:	347-351-1149
Fax Number	:

Provider Business Practice Location Address
First Line	:	3859 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-1540
Country	:	US
Telephone Number	:	212-688-7700
Fax Number	:

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

Provider Enumeration Date	:	08/17/2018
Last Update Date	:	08/17/2018

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Directions to “ HINA CHAUDHRI ” Practice Location

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