Perera, Thushanthi Shanila

Perera, Thushanthi Shanila is an individual health care provider with primary practice located at 815 Hallock Ave Suite A, Port Jefferson Station NY 11776-1244. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Perera, Thushanthi Shanila can be contacted via phone (631) 331-7267.

Contact Information

Primary practice address
815 Hallock Ave Suite A Port Jefferson Station NY 11776-1244
Fax: (631) 331-7289
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 274085-1 New York

Profile Details

NPI number 1770876641
LBN Legal business name Perera, Thushanthi Shanila
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2011
Last updated Jun 24th, 2014 - about 10 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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