Provider Demographics
NPI:1174861470
Name:CHAUDHRI, NOORYA (DDS)
Entity Type:Individual
Prefix:DR
First Name:NOORYA
Middle Name:
Last Name:CHAUDHRI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 WASHINGTON ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-4213
Mailing Address - Country:US
Mailing Address - Phone:773-793-3097
Mailing Address - Fax:
Practice Address - Street 1:666 CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-3775
Practice Address - Country:US
Practice Address - Phone:203-691-9632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-21
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT010700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist