Organization
MILBURN MEDICAL PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAND R PERSAUD M.D. (OWNER)
(516) 623-5900
Entity
Organization
Contact information
Practice address
3209 MILBURN AVE, BALDWIN, NY 11510-4932
(516) 623-5900
(516) 623-4600
Mailing address
3209 MILBURN AVE, BALDWIN, NY 11510-4932
(516) 623-5900
(516) 623-4600
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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