Individual
AMANDA PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 NORTHERN BLVD STE 150, GREAT NECK, NY 11021-5207
(516) 325-7000
(516) 325-7001
Mailing address
611 NORTHERN BLVD STE 150, GREAT NECK, NY 11021-5207
(516) 325-7000
(516) 325-7001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
298986
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2015
Last updated
05/27/2020
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