NPI 1013031533

Raveena Medical PC

Organisation Pulmonary Disease Physician New Hyde Park, NY

Practice location

Address: 1575 Hillside Avenue # 103 Suite #103, New Hyde Park, NY 11040-2501
Phone: (516) 352-1804
Fax: (516) 352-1449
Mailing address: 9308 Queens Blvd # 1b1c, Rego Park, NY 11374-1135

Authorised official

Name: Teekaram Persaud
Title: President
Phone: (718) 806-1434

Registered specialties

Pulmonary Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RP1001X Licence 223596 (NY)

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Registry record

NPI: 1013031533
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 19 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.