Provider Demographics
NPI:1003828393
Name:SAVARD, MOITRI CHOWDHURY (MD)
Entity Type:Individual
Prefix:DR
First Name:MOITRI
Middle Name:CHOWDHURY
Last Name:SAVARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 50TH AVE
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-5711
Mailing Address - Country:US
Mailing Address - Phone:718-707-3500
Mailing Address - Fax:718-707-3210
Practice Address - Street 1:531 50TH AVE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5711
Practice Address - Country:US
Practice Address - Phone:718-707-3500
Practice Address - Fax:718-707-3210
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230595207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine