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1679725626
KRISTAL SHIVANA PERSAUD
BRONX, NY
NPI
1679725626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 23 012865)
Enumeration Date
2008-10-21
Last Update Date
2008-10-21
Business Address
-- KRISTAL SHIVANA PERSAUD RPA-C
111 EAST 210TH STREET MONTEFIORE MEDICAL CENTER
BRONX, NY 10467-2490
Phone number: 718-920-4321
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Mailing Address
-- KRISTAL SHIVANA PERSAUD RPA-C
1131 WARING AVE
BRONX, NY 10469-5439
Phone number: 646-245-0064
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