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Mr. Kasun Buddhika Rathnayake Mudiyanselage I
Primary Care Clinic/Center in Newburgh, New York
NPI 1659143337

Kasun Buddhika Rathnayake Mudiyanselage I is a Primary Care Clinic/Center based in Newburgh, NY and is specialized in Primary Care. Kasun Buddhika Rathnayake Mudiyanselage I practices in Newburgh, NY. The NPI Number for Kasun Buddhika Rathnayake Mudiyanselage I is 1659143337 and holds a License No. (New York).

The current practice location address for Kasun Buddhika Rathnayake Mudiyanselage I is 112 Stewart Avenue Ext Apt 4, Newburgh, NY and can be reached out via phone at 845-541-7082.

Location: 112 Stewart Avenue Ext Apt 4, Newburgh, NY, 12550-6626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659143337
Provider Name
Kasun Buddhika Rathnayake Mudiyanselage I
Credential
Provider Entity Type
Individual
Gender
Male
Address
112 Stewart Avenue Ext Apt 4, Newburgh, NY, 12550-6626
Phone Number
845-541-7082
Fax Number
Provider Enumeration Date
10/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 Stewart Avenue Ext Apt 4
City
Newburgh
State
New York
Zip
12550-6626
Phone Number
845-541-7082
Fax Number
person
Provider Business Mailing Address Details
Address
112 Stewart Avenue Ext Apt 4
City
Newburgh
State
New York
Zip
12550-6626
Phone Number
845-541-7082
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
(New York)
Definition
Definition to come...
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