Individual
DR. MADONNA IBRAHIM MANSOUR-ATTAALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(917) 960-9000
Mailing address
586 E 187TH ST, 2, BRONX, NY 10458-6742
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
304026-01
NY
207R00000X
Internal Medicine Physician
304026-01
NY
Other
Enumeration date
04/29/2015
Last updated
08/11/2021
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