AYESHA I PATABENDI KORALALAGE

STATEN ISLAND, NY
NPI1881159051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  332594-1)
Enumeration Date2019-02-01
Last Update Date2019-02-01
Business Address
AYESHA I PATABENDI KORALALAGE lpn
26 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number: 718-667-8510
Mailing Address
AYESHA I PATABENDI KORALALAGE lpn
34A GREENTREE LN
STATEN ISLAND, NY 10314-1601
Phone number: