Individual
DR. ROHAN L WIJETILAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
944 N BROADWAY, SUITE 203, YONKERS, NY 10701-1304
(914) 963-2484
(914) 963-3674
Mailing address
944 N BROADWAY, SUITE 203, YONKERS, NY 10701-1304
(914) 963-2484
(914) 963-3674
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
193531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01663152
—
NY
01
—
060071266
RR MEDICARE ID
NY
Enumeration date
03/24/2006
Last updated
04/28/2008
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