Individual
HARDATH PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
11512 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1902
(718) 641-3389
Mailing address
10757 118TH ST, SOUTH RICHMOND HILL, NY 11419-2707
(718) 641-3389
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003755-1
NY
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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