MEDICARE: ROSHANI GUNAWARDENA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	788108	NY

General Provider Information

NPI Number	:	1154087963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSHANI GUNAWARDENA

Provider Business Mailing Address
First Line	:	417 CARY AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10310-2043
Country	:	US
Telephone Number	:	917-373-2323
Fax Number	:

Provider Business Practice Location Address
First Line	:	417 CARY AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10310-2043
Country	:	US
Telephone Number	:	917-373-2323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2021
Last Update Date	:	11/16/2021

Similar Medicare Providers

1023369873 — GAMMA CHIROPRACTIC PC
Practice Location Address:

1332 FOREST AVE , STATEN ISLAND
STATEN ISLAND, NY
10302-2043

Practice Phone: 718-442-8813
Practice Fax: 718-876-0158

1114539368 — ILONA RABINOVICH FNP
Practice Location Address:

2043 RICHMOND AVE
STATEN ISLAND, NY
10314-3936

Practice Phone: 718-710-4906
Practice Fax:

1033815915 — STATEN ISLAND GSC LLC
Practice Location Address:

2043 RICHMOND AVE FL 1
STATEN ISLAND, NY
10314-3964

Practice Phone: 718-975-7574
Practice Fax:

1033131883 — DR. JOHN STEPHEN WALSH MD
Practice Location Address:

313 SW PINE ISLAND RD
CAPE CORAL, FL
33991-2043

Practice Phone: 239-458-6755
Practice Fax:

1104992585 — GERALD A COWAN OD
Practice Location Address:

301 SW PINE ISLAND RD
CAPE CORAL, FL
33991-2043

Practice Phone: 239-800-6032
Practice Fax: 239-574-9038

1427416908 — DWIC OF TAMPA BAY, INC
Practice Location Address:

313 SW PINE ISLAND ROAD
CAPE CORAL, FL
33991-2043

Practice Phone: 239-458-6755
Practice Fax: 239-772-0421

Directions to “ ROSHANI GUNAWARDENA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.