Individual
ANELIA LARA PERSAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7901 BROADWAY # E2-69, ELMHURST, NY 11373-1329
(718) 334-2880
(718) 334-5006
Mailing address
7901 BROADWAY # E2-69, ELMHURST, NY 11373-1329
(718) 334-2880
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
718930
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
1068127
TX
Other
Enumeration date
08/18/2021
Last updated
10/01/2024
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