De Silva, Ruwini D.

De Silva, Ruwini D. is an individual health care provider with primary practice located at 360 Bard Ave , Staten Island NY 10310-1666. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. De Silva, Ruwini D. can be contacted via phone (718) 876-2000.

Contact Information

Primary practice address
360 Bard Ave Staten Island NY 10310-1666
Fax: (718) 876-2006
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 172488 New York

Profile Details

NPI number 1932186442
LBN Legal business name De Silva, Ruwini D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Apr 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932186442 NPPES
New York MEDICAID 01187360

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