| Prasanna C Wickremesinghe Md Pc | |
|
481 Bard Ave Staten Island NY 10310-2103 | |
| (718) 448-0865 | |
| (718) 816-8065 |
| Full Name | Prasanna C Wickremesinghe Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 481 Bard Ave, Staten Island, New York |
| Authorized Official Name and Position | Prasanna C Wickremesinghe (DIRECTOR) |
| Authorized Official Contact | 7184480865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prasanna C Wickremesinghe Md Pc 481 Bard Ave Staten Island NY 10310-2103 Ph: (718) 448-0865 | Prasanna C Wickremesinghe Md Pc 481 Bard Ave Staten Island NY 10310-2103 Ph: (718) 448-0865 |
| NPI Number | 1578724019 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 09/29/2008 |
| Medicare PECOS PAC ID | 3173699675 |
|---|---|
| Medicare Enrollment ID | O20080908000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578724019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Prasanna C Wickremesinghe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689636870 PECOS PAC ID: 1951477454 Enrollment ID: I20080908000138 |
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