Individual
DR. LISA N PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 STATION PLZ N, SUITE 310, MINEOLA, NY 11501-3800
(516) 663-3822
Mailing address
222 STATION PLZ N, SUITE 310, MINEOLA, NY 11501-3800
(516) 663-3822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254812
NY
208M00000X
Hospitalist Physician
Primary
254812
NY
Other
Enumeration date
09/10/2009
Last updated
12/09/2010
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