DON WISIDAGAMA, PA

Physician Assistant

Active Individual
NPI: 1437628260

Practice Address

253 SUMNER PL
Staten Island, NY 10301

Phone: (347) 636-6950

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1437628260 is the National Provider Identifier for DON WISIDAGAMA, PA, a Physician Assistant provider located in Staten Island, NY. This NPI was enumerated on November 22, 2018.
DON WISIDAGAMA, PA practices at 253 SUMNER PL, Staten Island, NY 10301.

Quick Facts

NPI
1437628260
Type
Individual
Enumerated
Nov 22, 2018
Last Updated
Nov 22, 2018

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