Amanda Diana Persaud, PHD - Psychologist in Long Island City, NY

Amanda Diana Persaud, PHD is a Psychologist - Clinical based in Long Island City, New York. Amanda Diana Persaud is licensed to practice in New York (license number 026204) and her current practice location is 475 48th Ave Apt 3413, Long Island City, New York. She can be reached at her office (for appointments etc.) via phone at (646) 902-4792.

NPI number for Amanda Diana Persaud is 1083481113 and her current mailing address is 4628 Vernon Blvd Ste 103, Long Island City, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083481113.

Contact Information

Amanda Diana Persaud, PHD
475 48th Ave Apt 3413,
Long Island City, NY 11109-5527
(646) 902-4792
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAmanda Diana Persaud
GenderFemale
SpecialityPsychologist - Clinical
Location475 48th Ave Apt 3413, Long Island City, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083481113
  • Provider Enumeration Date: 12/08/2023
  • Last Update Date: 12/08/2023

Medical Identifiers

Medical identifiers for Amanda Diana Persaud such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083481113NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 026204 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Diana Persaud is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Diana Persaud, PHD
4628 Vernon Blvd Ste 103,
Long Island City, NY 11101-5352

Ph: (646) 902-4792
Amanda Diana Persaud, PHD
475 48th Ave Apt 3413,
Long Island City, NY 11109-5527

Ph: (646) 902-4792

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