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Individual

LISA PERSAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, PMHNP-BC

Contact information

Practice address
120 BEACH 26TH ST APT 1105, FAR ROCKAWAY, NY 11691-2239
(347) 809-1764
Mailing address
120 BEACH 26TH ST APT 1105, FAR ROCKAWAY, NY 11691-2239
(347) 809-1764

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402222
NY

Other

Enumeration date
11/15/2012
Last updated
02/12/2024
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