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Organization

TIMOTHY G JAYASUNDERA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEANETTE RUIZ (OFFICE MANAGER)
(718) 763-6666
Entity
Organization

Contact information

Practice address
5402 FLATLANDS AVE, BROOKLYN, NY 11234-2436
(718) 763-6666
(718) 251-5636
Mailing address
PO BOX 287125, NEW YORK, NY 10128-0019
(917) 214-0084
(917) 536-9945

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
215825-1
NY

Other

Enumeration date
09/06/2016
Last updated
09/06/2016
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