Individual
DR. MARLON LAKMAL PERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS PHD FRACS
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
190126
ZZ
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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