# PERSAUD MEDICAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942329107
- **Authorized official:** ARETHA PERSAUD MD (OWNER)
- **Authorized official phone:** (631) 470-7915

## Contact information

- **Practice address:** 150 BROADHOLLOW RD, SUITE 311, MELVILLE, NY 11747-4905
- **Practice address phone:** (631) 470-7915
- **Practice address fax:** (631) 470-7922
- **Mailing address:** 150 BROADHOLLOW RD, SUITE 311, MELVILLE, NY 11747-4905
- **Mailing address phone:** (631) 470-7915
- **Mailing address fax:** (631) 470-7922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 228552 | NY | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 12/28/2010