Dr. Mapatunage Ananda Siriwardena
Sports Medicine Doctor
1656 Champlin Ave
Utica
, New York 13502-4830
Dr. Mapatunage Ananda Siriwardena
Sports Medicine Doctor
1656 Champlin Ave
Utica
, New York 13502-4830
(315) 732-4257
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Mapatunage Ananda Siriwardena
- 102 Stonebridge Ct
- New Hartford, NY
- Zip : 13413-5513
- Fax : (315) 732-4257
- Phone : (315) 732-4319
Second Address
- Dr. Mapatunage Ananda Siriwardena
- 1656 Champlin Ave
- Utica, NY
- Zip : 13502-4830
- Fax : (315) 624-4767
- Phone : (315) 624-6944
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 195470 | NY |
National Provider Identifier
| NPI | 1821056763 |
|---|---|
| Provider Name | Dr. Mapatunage Ananda Siriwardena |
| First Address | New Hartford, NY 13413-5513 |
| Second Address | Utica, NY 13502-4830 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E14556 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.