Individual
ALI MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
191 N MAIN ST, WELLSVILLE, NY 14895-1150
(585) 593-1100
Mailing address
350 PARRISH ST, CANANDAIGUA, NY 14424-1731
(585) 978-8770
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
317968
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
317968
NY
390200000X
Student in an Organized Health Care Education/Training Program
TRN29859
FL
Other
Enumeration date
08/05/2019
Last updated
07/22/2023
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