Provider Demographics
NPI:1427155480
Name:ABEYSEKERA, SHIRANEE TERESE (MD)
Entity type:Individual
Prefix:DR
First Name:SHIRANEE
Middle Name:TERESE
Last Name:ABEYSEKERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHIRANEE
Other - Middle Name:TERESE
Other - Last Name:ABEYSEKERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3771 NESCONSET HWY STE 211B
Mailing Address - Street 2:
Mailing Address - City:SOUTH SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11720-1154
Mailing Address - Country:US
Mailing Address - Phone:631-698-9504
Mailing Address - Fax:
Practice Address - Street 1:3771 NESCONSET HWY STE 211B
Practice Address - Street 2:
Practice Address - City:SOUTH SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11720-1154
Practice Address - Country:US
Practice Address - Phone:631-698-9504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2137042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry