Provider Demographics
NPI:1619212263
Name:PERSAUD, JULIA SAVITRI (DVM)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:SAVITRI
Last Name:PERSAUD
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2458 CENTRAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1125
Mailing Address - Country:US
Mailing Address - Phone:914-771-5223
Mailing Address - Fax:
Practice Address - Street 1:2458 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1125
Practice Address - Country:US
Practice Address - Phone:914-771-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-09
Last Update Date:2012-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010135174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY010135OtherNY STATE DVM LICENSE #