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DR. KRISHNA VIJAY PERSAUD MD

Allergy and Immunology

Williamson, New York

Provider NPI: 1508829284

Provider Information:
DR. KRISHNA VIJAY PERSAUD MD


Practice Location:
4418 E RIDGE RD WILLIAMSON MEDICAL PLLC WILLIAMSON, NY 14589 US
Tel: 315-589-4641  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207K00000XPhysicians
Allergy & Immunology
NY205585
Y207R00000XPhysicians
Internal Medicine
NY205585

Other Provider Identifiers:

IssuerNumberStateType
PREFERRED CARE ALLERGY102914AANY01
BLUE CHOICE IM010000058NY01
BLUE CHOICE ALLERGY030000058NY01
01535859NY05
PREFERRED CARE IM102914BJNY01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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