Individual
KASUNI KOTELAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
38 LAROSE ST, GLENS FALLS, NY 12801-3452
(518) 824-8181
(833) 819-0268
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
306276
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06157006
—
NY
Enumeration date
03/27/2017
Last updated
03/13/2026
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