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1083481113
AMANDA DIANA PERSAUD
LONG ISLAND CITY, NY
NPI
1083481113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 026204)
Enumeration Date
2023-12-08
Last Update Date
2024-11-19
Business Address
AMANDA DIANA PERSAUD PHD
4628 VERNON BLVD STE 103
LONG ISLAND CITY, NY 11101-5352
Phone number: 914-494-2936
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Mailing Address
AMANDA DIANA PERSAUD PHD
4628 VERNON BLVD STE 103
LONG ISLAND CITY, NY 11101-5352
Phone number: 646-902-4792
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