Individual
YUDHISTIRA PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 590-1800
(718) 518-5124
Mailing address
14833 87TH RD, BRIARWOOD, NY 11435-3113
(917) 584-6770
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
231667
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231667
STATE LICENSE
NY
Enumeration date
12/11/2007
Last updated
12/11/2007
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