MEDICARE: DR. SYEDUR R. CHOWDHURY M.D.

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	207L00000X	Anesthesiology Physician	234238-1	NY

General Provider Information

NPI Number	:	1942294392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYEDUR R. CHOWDHURY M.D.

Provider Business Mailing Address
First Line	:	50 NORTH DR
Second Line	:
City	:	MANHASSET HILLS
State	:	NY
Zip	:	11040-2255
Country	:	US
Telephone Number	:	516-248-0465
Fax Number	:	718-883-6137

Provider Business Practice Location Address
First Line	:	8268 164TH ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-1121
Country	:	US
Telephone Number	:	718-883-4454
Fax Number	:	718-883-6137

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	02/19/2015

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