Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 207523 | NY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 207523 | NY |
NPI | 1184619116 |
---|---|
Provider Name | Aruna M Seneviratne |
First Address | Schenectady, NY 12309-3536 |
Second Address | Schenectady, NY 12309-3536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 28/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I16952 | (02) |