Individual
MISS MARISSA LINDA-KAYE PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
300 COMMUNITY DR, 5 MONTI, MANHASSET, NY 11030-3816
(516) 562-4330
Mailing address
1120 CONCORD ST, FRANKLIN SQUARE, NY 11010-2721
(516) 775-1344
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303609-1
NY
Other
Enumeration date
03/21/2006
Last updated
04/15/2010
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