Individual
DR. GITI MANSOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
127 S BROADWAY, YONKERS, NY 10701
(646) 824-3314
Mailing address
127 S BROADWAY, YONKERS, NY 10701
(646) 824-3314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
265547
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
09/20/2006
Last updated
08/16/2019
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