Individual
ROSHINI RAJAPAKSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 BROADWAY, NEW YORK, NY 10006-1901
(212) 263-3095
Mailing address
111 BROADWAY, NEW YORK, NY 10006-1901
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
210697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02378265
—
NY
Enumeration date
08/31/2005
Last updated
03/26/2021
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