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General NPI Number Information
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NPI Number | 1417884859
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Entity Type | Organization
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Legal Business Name | SWETTIMUNY MEDICAL, PLLC
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 346 OAKDALE ST
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City | STATEN ISLAND
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State | NY
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Zip | 10312-5114
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Country | US
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Telephone | 929-352-4511
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Fax | 718-667-2004
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Provider Business Mailing Address
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Address Line | 118 SAINT ANDREWS RD
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City | STATEN ISLAND
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State | NY
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Zip | 10306-1510
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Country | US
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Telephone | 917-304-5366
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Fax | 718-667-2004
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SASHI WETTIMUNY
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Credential | DO
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Telephone | 929-352-4511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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