DEVICKA PERSAUD MEDICAL PC

SOUTH RICHMOND HILL, NY
NPI1407925977
Entity TypeOrganization
Authorized ContactDEVICKA DEVI PERSAUD
Owner
718-641-3389
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-11-07
Last Update Date2012-12-03
Business Address
DEVICKA PERSAUD MEDICAL PC
11512 LIBERTY AVE
SOUTH RICHMOND HILL, NY 11419-1902
Phone number: 718-641-3389
Mailing Address
DEVICKA PERSAUD MEDICAL PC
11512 LIBERTY AVE
SOUTH RICHMOND HILL, NY 11419-1902
Phone number: 718-641-3389