Organization
MEDICAL OFFICE OF ANAND R PERSAUD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAND R PERSAUD MD (OWNER)
(516) 623-5900
Entity
Organization
Contact information
Practice address
17325 JAMAICA AVE, JAMAICA, NY 11432-5523
(718) 657-4000
(718) 657-6000
Mailing address
17325 JAMAICA AVE, JAMAICA, NY 11432-5523
(718) 657-4000
(718) 657-6000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/06/2011
Last updated
12/10/2012
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