Individual
JUSTIN PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4211 BELL BLVD BAY BAYSIDE, BAYSIDE, NY 11361-2863
(212) 385-3700
Mailing address
8978 214TH ST, QUEENS VILLAGE, NY 11427-2330
(718) 440-5607
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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