KRISTAL SHIVANA PERSAUD RPA-C
NPI 1679725626
Physician Assistant - Medical in Bronx, NY
Active since October 21, 2008
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review
About Kristal Shivana Persaud Rpa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTAL SHIVANA PERSAUD RPA-C (NPI 1679725626) is an individual medical provider in Bronx, New York, licensed in New York (23 012865) and active in the NPI registry since October 2008.
NPPES Registry Identity
NPI1679725626
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTAL SHIVANA PERSAUDCredential: RPA-C
Location Address111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTERBronx, NY 10467-2490
Mailing Address1131 Waring AveBronx, NY 10469-5439 · (646) 245-0064
Phone(718) 920-4321
Sole ProprietorNo
Enumeration DateOctober 21, 2008
✔ NPI 1679725626 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 23 012865
111 EAST 210TH STREET, Bronx, NY 10467
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Pulmonary Disease)
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
BRONX, NY 10467
Internal Medicine (Infectious Disease)
111 EAST 210TH STREET, MONTEFIORE HOSPITAL
THE BRONX, NY 10467
THE BRONX, NY 10467
Surgery
111 EAST 210TH STREET, MONTEFIORE MED CTR/DEPT ABDOMINAL TRANSPLANT SURGERY
BRONX, NY 10467
BRONX, NY 10467
Ophthalmology
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER DEPARTMENT OF OPHTHALMOLOGY
BRONX, NY 10467
BRONX, NY 10467
Nurse Practitioner
111 EAST 210TH STREET, MONTEFIORE SCHOOL HEALTH PROGRAM
BRONX, NY 10467
BRONX, NY 10467
Psychiatry & Neurology (Psychiatry)
111 EAST 210TH STREET, MMC - DEPT. OF PSYCHIATRY
BRONX, NY 10467
BRONX, NY 10467
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679725626, enumerated as an "individual" on October 21, 2008.
The provider is located at 111 EAST 210TH STREET MONTEFIORE MEDICAL CENTER BRONX, NY 10467 and the phone number is (718) 920-4321.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
