Provider Demographics
NPI:1922517754
Name:PERSAUD, AMY SARIKA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:SARIKA
Last Name:PERSAUD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:SARIKA
Other - Middle Name:
Other - Last Name:PERSAUD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:303 EVANS AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-3803
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4608 30TH AVE APT 8
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-1200
Practice Address - Country:US
Practice Address - Phone:516-241-6503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-25
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist