Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Devicka Persaud Medical PC

Organization Family Medicine Physician · NPI 1407925977

Devicka Persaud Medical PC provides Family Medicine Physician services in South Richmond Hill, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11512 Liberty Ave
South Richmond Hill, NY 11419-1902 Not confirmed with CMS for 13 years — call before visiting
Phone: (718) 641-3389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1407925977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devicka Persaud — Owner · (718) 641-3389
NPI enumeratedNovember 7, 2006
Last updated in NPPESDecember 3, 2012
Mailing address11512 Liberty Ave, South Richmond Hill, NY 11419-1902

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