Individual
ANDRE PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 E BOSTON POST RD, MAMARONECK, NY 10543-3741
(914) 777-5437
(914) 630-0907
Mailing address
620 E BOSTON POST RD, 620 EAST BOSTON POST ROAD, MAMARONECK, NY 10543-3741
(914) 777-5437
(914) 630-0907
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
2455698
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2494046
—
OH
Enumeration date
10/27/2006
Last updated
06/22/2011
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