Provider Demographics
NPI:1194238865
Name:CHAUDHARY, FOZIA (RD)
Entity type:Individual
Prefix:
First Name:FOZIA
Middle Name:
Last Name:CHAUDHARY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41C W MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-5703
Mailing Address - Country:US
Mailing Address - Phone:516-599-5600
Mailing Address - Fax:
Practice Address - Street 1:41C W MERRICK RD STE 3
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5703
Practice Address - Country:US
Practice Address - Phone:646-251-6108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-15
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009336133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered