Individual
DR. MAPATUNAGE ANANDA SIRIWARDENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-6944
(315) 624-4767
Mailing address
102 STONEBRIDGE CT, NEW HARTFORD, NY 13413-5513
(315) 732-4319
(315) 732-4257
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
195470
NY
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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