DR. Kanista Menike Basnayake, M.D.

NPI #1336221233 in Patchogue, New York

Provider Information

NPI Number: 1336221233
Entity Type: Individual
Name: DR. Kanista Menike Basnayake, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 365 E MAIN ST
Address 2: SOUTH BROOKHAVEN HEALTH CENTER WEST
City: Patchogue
State: New York
ZIP Code: 11772-3145
Phone: (631) 854-1281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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