Provider Demographics
NPI:1801492368
Name:CHOWDHURY, SWARNA (RPH, PHARMD)
Entity type:Individual
Prefix:
First Name:SWARNA
Middle Name:
Last Name:CHOWDHURY
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 50TH AVE
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-6050
Mailing Address - Country:US
Mailing Address - Phone:718-729-3197
Mailing Address - Fax:
Practice Address - Street 1:150 50TH AVE
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-6050
Practice Address - Country:US
Practice Address - Phone:718-729-3197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist