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

MR. KASUN BUDDHIKA RATHNAYAKE MUDIYANSELAGE I

Active Sole Proprietor

MR. KASUN BUDDHIKA RATHNAYAKE MUDIYANSELAGE I is a Primary Care Clinic healthcare provider located in NEWBURGH, New York. NPI 1659143337 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · NEWBURGH, NY

Registration Details

NPI Number
1659143337
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2023 (2.8286724580787 yrs)
Last Updated
Oct 25, 2023
Sole Proprietor
Yes

Practice Information

Address
112 STEWART AVENUE EXT APT 4
NEWBURGH, NY, 125506626
Browse NY providers · Browse ZIP 12550
Phone
8455417082
Primary Specialty
Primary Care Clinic
261QP2300X
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.