Provider Demographics
NPI:1881792919
Name:CHAUDHRY, HAROON W (MD)
Entity type:Individual
Prefix:
First Name:HAROON
Middle Name:W
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:245-06 JERICHO TPK
Mailing Address - Street 2:LL-106 DREAMSCAPE ANESTHESIA SERVICES, PC
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3923
Mailing Address - Country:US
Mailing Address - Phone:646-207-8639
Mailing Address - Fax:646-304-1681
Practice Address - Street 1:620 COLUMBUS AVENUE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1459
Practice Address - Country:US
Practice Address - Phone:646-207-8639
Practice Address - Fax:646-304-1681
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211953207L00000X
CT042977207L00000X
NJ25MA07555600207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5284EVMedicare UPIN
33B751Medicare ID - Type Unspecified