Provider Demographics
NPI:1497850754
Name:CHOUDHURY, ABDUL QUADIR (RPH)
Entity Type:Individual
Prefix:MR
First Name:ABDUL
Middle Name:QUADIR
Last Name:CHOUDHURY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VA HUDSON VALLY HEALTH CARE SYSTEM
Mailing Address - Street 2:RD 9D
Mailing Address - City:CASTLE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:12511-5000
Mailing Address - Country:US
Mailing Address - Phone:845-831-2000
Mailing Address - Fax:845-838-5789
Practice Address - Street 1:VA HUDSON VALLY HEALTH CARE SYSTEM
Practice Address - Street 2:RD 9D
Practice Address - City:CASTLE POINT
Practice Address - State:NY
Practice Address - Zip Code:12511-5000
Practice Address - Country:US
Practice Address - Phone:845-831-2000
Practice Address - Fax:845-838-5789
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0352371835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY035237OtherPHARMACIST