Individual provider · Type 1 NPI

Elyse K. Persico, D.V.M.

Student in an Organized Health Care Education/Training Program · Mineola, NY

NPI number 1780035717 Active

Practice location

132 Jericho Tpke
Mineola, NY 11501-1856

Call (516) 873-9207 Map

Fax (516) 873-1221

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X014074 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780035717

Elyse K. Persico, D.V.M.'s National Provider Identifier is 1780035717, issued on Jun 30, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mineola, NY. The record was last updated on Jun 30, 2016.