Individual
ANDRE A. PERSAUD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
306 CENTRAL AVE, DUNKIRK, NY 14048-2125
(716) 366-4210
(716) 366-3549
Mailing address
306 CENTRAL AVE, DUNKIRK, NY 14048-2125
(716) 366-4210
(716) 366-3549
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
151520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000081723
GHI HMO
NY
01
—
0001013710
UNIVERA
NY
01
—
00500746
BLUE CROSS BLUE SHIELD
NY
05
—
00865247
—
NY
01
—
040426003767
FIDELIS
NY
01
—
0703196
INDEPENDENT HEALTH
NY
Enumeration date
01/27/2006
Last updated
07/08/2007
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