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Lalta Persaud - Jaikaran Bedessie

Licensed Practical Nurse in South Ozone Park, NY. Individual provider (NPI-1).

NPI number1508023904
StatusActive
Last updated in NPPESMay 22, 2008

Details

NPI
1508023904
Entity type
Individual (NPI-1)
Name
Lalta Persaud - Jaikaran Bedessie
Sex
Male
Sole proprietor
Yes
Enumeration date
May 22, 2008
Last updated
May 22, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse251980-1NYYes

Practice location

15047 129th St
South Ozone Park, NY 11420-4246

Phone 347-239-0653

Mailing address

15047 129th St
South Ozone Park, NY 11420-4246

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Practical Nurse providers in South Ozone Park, NY

All 47 Licensed Practical Nurse providers in South Ozone Park · All 489 providers in South Ozone Park

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