KANISTA MENIKE BASNAYAKE

PATCHOGUE, NY
NPI1336221233
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  189498)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
Dr. KANISTA MENIKE BASNAYAKE M.D.
365 E MAIN ST SOUTH BROOKHAVEN HEALTH CENTER WEST
PATCHOGUE, NY 11772-3145
Phone number: 631-854-1281
Mailing Address
Dr. KANISTA MENIKE BASNAYAKE M.D.
3 ESPLANADE DR
EAST PATCHOGUE, NY 11772-7905
Phone number: 631-758-6773
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