Individual provider · Type 1 NPI

Kristal Shivana Persaud, RPA-C

Medical Physician Assistant · Bronx, NY

NPI number 1679725626 Active

Practice location

111 East 210th Street, Montefiore Medical Center
Bronx, NY 10467-2490

Call (718) 920-4321 Map

Mailing address

1131 Waring Ave
Bronx, NY 10469-5439

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X23 012865 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1679725626

Kristal Shivana Persaud, RPA-C's National Provider Identifier is 1679725626, issued on Oct 21, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Oct 21, 2008.