Organization
BEHROOZ MANDANIPOUR DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEHROOZ MANDANIPOUR DPM (PRESIDENT)
(718) 926-8855
Entity
Organization
Contact information
Practice address
19 W 34TH ST RM 608, NEW YORK, NY 10001-3006
(212) 244-7670
(646) 308-9202
Mailing address
19 W 34TH ST RM 608, NEW YORK, NY 10001-3006
(718) 926-8855
(646) 308-9202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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