Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 230595 | NY |
NPI | 1003828393 |
---|---|
Provider Name | Dr. Moitri Chowdhury Savard |
First Address | Long Island City, NY 11101-5711 |
Second Address | Long Island City, NY 11101-5711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 08/07/2007 |