DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KANISTA MENIKE BASNAYAKE, M.D.

Active Sole Proprietor

DR. KANISTA MENIKE BASNAYAKE, M.D. is a Family Medicine healthcare provider located in PATCHOGUE, New York. NPI 1336221233 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PATCHOGUE, NY

Registration Details

NPI Number
1336221233
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2006 (19.818065562793 yrs)
Last Updated
Jul 8, 2007
License
189498 (NY)
Sole Proprietor
Yes

Practice Information

Address
365 E MAIN ST
SOUTH BROOKHAVEN HEALTH CENTER WEST
PATCHOGUE, NY, 117723145
Browse NY providers · Browse ZIP 11772
Phone
6318541281
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in PATCHOGUE, NY

Name Credential NPI
AURENE DELA CRUZ ALCASABAS MD 1285629030
SULTANA YASMIN RAHMAN M.D 1386601359
DR. ANTHONY PESCE M.D. 1013951169
DR. ROBERT BOBROW M.D. 1548204613
DR. ALICIA CAMACHO M.D. 1417987538
DR. KURT DUNDAS SCHLICHTING M.D. 1558392373
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.