Organization
PARKWAY MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA PERSAUD MD (MEMBER)
(718) 368-2200
Entity
Organization
Contact information
Practice address
2965 OCEAN PKWY STE 214, BROOKLYN, NY 11235-8014
(718) 368-2200
Mailing address
2965 OCEAN PKWY STE 214, BROOKLYN, NY 11235-8014
(718) 368-2200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
200246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03171822
—
NY
Enumeration date
04/04/2008
Last updated
12/08/2010
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