Individual ProviderVenieka PersaudNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address451 Clarkson Ave, Brooklyn, NY 11203-2054(718) 245-7004(917) 519-9799PECOS EnrollmentBased on the most recent information from CMS, provider Venieka Persaud does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215463898Provider TypeIndividualFull NamePersaud, VeniekaTitleMs.GenderFemaleSole ProprietorYesEnumeration Date5/3/2017Last Updated5/3/2017Contact InformationPractice LocationPractice Address451 Clarkson Ave, Brooklyn, NY 11203-2054Phone(718) 245-7004FaxUnlisted FaxMailing LocationMailing Address14447 87th Rd, Jamaica, NY 11435-3123Phone(917) 519-9799FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense341267New York