Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N006754-1 | NY |
Y | 222Z00000X | Podiatrist | N006754-1 | NY |
NPI | 1063845568 |
---|---|
Provider Name | Rashini Rumesha Wijesinghe Kannangara |
First Address | Bellmore, NY 11710-5651 |
Second Address | Woodside, NY 11377-4239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2013 |
Last Update Date | 16/01/2022 |