SISIRA GORTHALA

STONY BROOK, NY
NPI1982165882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-25
Last Update Date2019-03-25
Business Address
SISIRA GORTHALA
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794-0001
Phone number: 631-444-2058
Mailing Address
SISIRA GORTHALA
92 RIDGEMONT DR
HOPEWELL JUNCTION, NY 12533-8228
Phone number:
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