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1851705628
RESIKA UBAYAWARDENA
ROCHESTER, NY
NPI
1851705628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 289710)
Enumeration Date
2014-06-19
Last Update Date
2021-05-20
Business Address
RESIKA UBAYAWARDENA
222 ALEXANDER ST, STE 5000 GENESEE INTERNAL MEDICINE AT ALEXANDER PARK
ROCHESTER, NY 14607-4039
Phone number: 585-922-8003
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Mailing Address
RESIKA UBAYAWARDENA
100 KINGS HIGHWAY SOUTH PROVIDER ENROLLMENT
ROCHESTER, NY 14617-5504
Phone number: 585-922-1304
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