Provider Demographics
NPI:1518170422
Name:CHAUDHARI, MADHAVI U (DMD)
Entity Type:Individual
Prefix:DR
First Name:MADHAVI
Middle Name:U
Last Name:CHAUDHARI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 CEDAR DR E
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2604
Mailing Address - Country:US
Mailing Address - Phone:914-762-4980
Mailing Address - Fax:
Practice Address - Street 1:35 E GRASSY SPRAIN RD
Practice Address - Street 2:STE. 103
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-4620
Practice Address - Country:US
Practice Address - Phone:914-337-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048039-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice