Individual
NYLA RAJANI PERSAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CCC-A
Contact information
Practice address
1200 WATERS PL, BRONX, NY 10461-2728
(718) 863-4366
(718) 863-9743
Mailing address
570 CONKLIN ST, FARMINGDALE, NY 11735-3702
(718) 863-4366
(718) 863-9743
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002047
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047
NEW YORK STATE LICENSE
NY
Enumeration date
03/24/2008
Last updated
03/24/2008
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