Individual
AMINTHA M. SELVARAJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
138 NORTH COURT STREET, WAMPSVILLE, NY 13163-0608
(315) 366-2327
Mailing address
138 NORTH COURT STREET, WAMPSVILLE, NY 13163-0608
(315) 366-2327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052340
PA
Other
Enumeration date
06/01/2006
Last updated
10/14/2009
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