Individual
MR. MAHESH NUWAN KUMARA SIRISENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 N ROBERT DAMM ST, BETHPAGE, NY 11714-3518
(860) 816-1033
Mailing address
15 N ROBERT DAMM ST, BETHPAGE, NY 11714-3518
(860) 816-1033
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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