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

DON ANTON DAYANTHA WISIDAGAMA, PA

Active

DON ANTON DAYANTHA WISIDAGAMA, PA is a Physician Assistant healthcare provider located in STATEN ISLAND, New York. NPI 1437628260 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STATEN ISLAND, NY

Registration Details

NPI Number
1437628260
Provider Type
Individual
Gender
Male
NPI Issued
Nov 22, 2018 (7.7527547287614 yrs)
Last Updated
Nov 22, 2018

Practice Information

Address
253 SUMNER PL
STATEN ISLAND, NY, 103012835
Browse NY providers · Browse ZIP 10301
Phone
3476366950
Primary Specialty
Physician Assistant
363A00000X

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CLARE A BEAGEN-MCHUGH PA 1295718856
MRS. WENDY ALEXANDRA SIMONS PHYSICIAN ASSISTANT 1124095328
ROBERT F CARLUCCI MD 1386603405
JAMES VINCENT RUSSO PA 1194785725
DANIELLE MARIE GRANDNER PA 1053371591
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.