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Individual
DR. PRASANNA C WICKREMESINGHE
Active
Individual
DR. PRASANNA C WICKREMESINGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.P.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
115502
NY
Other
Enumeration date
04/04/2006
Last updated
03/03/2010
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