Provider Demographics
NPI:1851655740
Name:CHOWDHURY, NILUTHFAR BEGOM
Entity Type:Individual
Prefix:MRS
First Name:NILUTHFAR
Middle Name:BEGOM
Last Name:CHOWDHURY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MILES AVE
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1607
Mailing Address - Country:US
Mailing Address - Phone:516-248-4195
Mailing Address - Fax:516-248-4197
Practice Address - Street 1:15 MILES AVE
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1607
Practice Address - Country:US
Practice Address - Phone:516-248-4195
Practice Address - Fax:516-248-4197
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY16188171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator