Individual
MR. KASUN BUDDHIKA RATHNAYAKE MUDIYANSELAGE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 STEWART AVENUE EXT APT 4, NEWBURGH, NY 12550-6626
(845) 541-7082
Mailing address
112 STEWART AVENUE EXT APT 4, NEWBURGH, NY 12550-6626
(845) 541-7082
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
NY
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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