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Individual

PIYASIRI JASINGHEPATIRANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
466 MAIN ST # LL20, NEW ROCHELLE, NY 10801-6431
(718) 769-2698
Mailing address
22151 MANOR RD, QUEENS VILLAGE, NY 11427-2027
(718) 844-6790

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NY

Other

Enumeration date
12/16/2018
Last updated
12/16/2018
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