Provider Demographics
NPI:1194397315
Name:CHOWDHURY, IFFAT (OTR/L)
Entity Type:Individual
Prefix:
First Name:IFFAT
Middle Name:
Last Name:CHOWDHURY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14815 LOWE CT APT 3B
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-4052
Mailing Address - Country:US
Mailing Address - Phone:929-336-9151
Mailing Address - Fax:
Practice Address - Street 1:14815 LOWE CT APT 3B
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-4052
Practice Address - Country:US
Practice Address - Phone:929-336-9151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025792225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist