Organization
MILBURN MEDICAL
Active
Other names
Milburn Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAND R PERSAUD M.D. (PRESIDENT)
(718) 657-4000
Entity
Organization
Contact information
Practice address
17325 JAMAICA AVE, JAMAICA, NY 11432-5523
(718) 657-6000
Mailing address
17325 JAMAICA AVE, JAMAICA, NY 11432-5523
(718) 657-4000
(718) 657-6000
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
214330
NY
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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