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Shalini Sirisena

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

Based on the most recent information from CMS, provider Shalini Sirisena is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1508176306
Provider Type
Individual
Full Name
Sirisena, Shalini
Title
Ms.
Credential
PHYSICIAN ASSISTANT

Gender
Female
Sole Proprietor
No
Enumeration Date
10/14/2010
Last Updated
10/14/2010

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

2 Park Sq, Apartment 2201, Rahway, NJ 07065-4060

(917) 613-8864

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 014161 New York

Shalini Sirisena

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gregory, Krista Ann

Compton, Korrine A

Shkandriy, Tetyana

Giuseffi, Nicholas

Datta, Adrienne

Lanter, Amanda

Bedard, Lindsey

Patel, Anju M

Martino, Lindsay

Daniel, Prince