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Organization

RAVEENA MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TEEKARAM PERSAUD MD (PRESIDENT)
(718) 806-1434
Entity
Organization

Contact information

Practice address
1575 HILLSIDE AVENUE # 103, SUITE #103, NEW HYDE PARK, NY 11040-2501
(516) 352-1804
(516) 352-1449
Mailing address
9308 QUEENS BLVD # 1B1C, REGO PARK, NY 11374-1135
(718) 806-1434
(718) 806-1435

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
223596
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02728545
NY
Enumeration date
03/19/2007
Last updated
12/19/2024
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