Organization
PERSAUD MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARETHA PERSAUD MD (OWNER)
(631) 470-7915
Entity
Organization
Contact information
Practice address
150 BROADHOLLOW RD, SUITE 311, MELVILLE, NY 11747-4905
(631) 470-7915
(631) 470-7922
Mailing address
150 BROADHOLLOW RD, SUITE 311, MELVILLE, NY 11747-4905
(631) 470-7915
(631) 470-7922
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
228552
NY
Other
Enumeration date
03/28/2007
Last updated
12/28/2010
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