NPI | 1114313293 |
---|---|
Former Name | SHABANA CHOWDHURY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006918) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 0000000) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2024-07-21 |