Wijetilaka, Rohan L

Wijetilaka, Rohan L is an sole proprietor health care provider with primary practice located at 944 N Broadway Suite 203, Yonkers NY 10701-1304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wijetilaka, Rohan L can be contacted via phone (914) 963-2484.

Contact Information

Primary practice address
944 N Broadway Suite 203 Yonkers NY 10701-1304
Fax: (914) 963-3674
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 193531 New York

Profile Details

NPI number 1821058694
LBN Legal business name Wijetilaka, Rohan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Apr 28th, 2008 - about 16 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 1821058694 NPPES
New York MEDICAID 01663152
New York Other 060071266

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