Individual provider · Type 1 NPI

Justin Persaud, PA-C

Medical Physician Assistant · Bayside, NY

NPI number 1073430179 Active

Practice location

4211 Bell Blvd Bay Bayside
Bayside, NY 11361-2863

Call (212) 385-3700 Map

Mailing address

8978 214th St
Queens Village, NY 11427-2330

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1073430179

Justin Persaud, PA-C's National Provider Identifier is 1073430179, issued on Jul 1, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bayside, NY. The record was last updated on Jul 1, 2026.