Individual
DR. MOHAMED MOHSEN MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 RESEARCH WAY, EAST SETAUKET, NY 11733-3526
(631) 444-1750
(631) 444-7502
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-0650
(631) 638-4170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
250693
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
250693
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME126865
FL
207RP1001X
Pulmonary Disease Physician
Primary
250693
NY
390200000X
Student in an Organized Health Care Education/Training Program
250693
NY
Other
Enumeration date
01/27/2009
Last updated
02/20/2018
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