Individual
MOHAMED MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2912 210TH PL, BAYSIDE, NY 11360-2433
(718) 773-2011
(718) 773-3728
Mailing address
2912 210TH PL, BAYSIDE, NY 11360-2433
(718) 773-2011
(718) 773-3728
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
191343
NY
Other
Enumeration date
07/06/2006
Last updated
10/01/2008
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