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Individual

DR. SASHI WETTIMUNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
118 SAINT ANDREWS RD, STATEN ISLAND, NY 10306-1510
(718) 555-5566
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
253810
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MB09417700
NJ

Other

Enumeration date
11/26/2008
Last updated
03/06/2025
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