Individual
JOSEPH CARLTON MIHINDUKULASURIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 MURRAY STREET, GLENS FALLS, NY 12801-2018
(518) 798-3838
(518) 798-6125
Mailing address
20 MURRAY ST, PO BOX 2018, GLENS FALLS, NY 12801-4320
(518) 798-3838
(518) 798-6125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1550461
NY
207RN0300X
Nephrology Physician
Primary
1550461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00819109
—
NY
Enumeration date
01/02/2007
Last updated
06/09/2008
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