Gunaratne, Mallika

Gunaratne, Mallika is an sole proprietor health care provider with primary practice located at 777 Seaview Ave , Staten Island NY 10305-3409. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gunaratne, Mallika can be contacted via phone (718) 667-2648.

Contact Information

Primary practice address
777 Seaview Ave Staten Island NY 10305-3409
Phone: (718) 667-2648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 404380 New York

Profile Details

NPI number 1598489908
LBN Legal business name Gunaratne, Mallika
Credentials RN, BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2022
Last updated Sep 29th, 2022 - about 2 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 1598489908 NPPES
New York MEDICAID 2997157

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