Individual
DR. MADUWEGEDARA ARIYASINGHE WICKRAMAARATCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 CENTER DR, RIVERHEAD HEALTH CENTER, RIVERHEAD, NY 11901-3393
(631) 852-1818
(631) 852-3723
Mailing address
3 ESPLANADE DR, EAST PATCHOGUE, NY 11772-7905
(631) 758-6773
(631) 852-3723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204613
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1805430
—
NY
Enumeration date
07/04/2006
Last updated
07/08/2007
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