Provider Demographics
NPI:1952075657
Name:ARIF, CHAUDHRY M
Entity type:Individual
Prefix:
First Name:CHAUDHRY
Middle Name:M
Last Name:ARIF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8612 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7539
Mailing Address - Country:US
Mailing Address - Phone:718-803-3888
Mailing Address - Fax:718-803-3887
Practice Address - Street 1:8612 37TH AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7539
Practice Address - Country:US
Practice Address - Phone:718-803-3888
Practice Address - Fax:718-803-3887
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034838333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy