Individual
BISSOONDAI PERSAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
418 RIDGEWOOD AVE, BROOKLYN, NY 11208-1636
(718) 277-1964
Mailing address
418 RIDGEWOOD AVE, BROOKLYN, NY 11208-1636
(718) 277-1964
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
652366-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02386450
—
NY
Enumeration date
06/28/2012
Last updated
06/28/2012
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