Individual
CHANDANA DISSANAYAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 BROADHOLLOW RD STE 201, MELVILLE, NY 11747-4833
(914) 216-7585
Mailing address
40 COLLFIELD AVE, STATEN ISLAND, NY 10302-2416
(347) 965-4625
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
865118-01
NY
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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