Individual
MR. MANSOOR BEROOKHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 WEST 96 ST, APT 1H, NEW YORK, NY 10025
(212) 666-6900
(212) 666-6910
Mailing address
7 WEST 96 ST, APT 1H, NEW YORK, NY 10025
(212) 666-6900
(212) 666-6910
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
117326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00217267
—
NJ
01
—
NP003
OXFORD
NY
Enumeration date
11/22/2006
Last updated
10/07/2010
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