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Individual

DR. HORMOZ MANSOURI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
175 JERICHO TPKE, SUITE 201, SYOSSET, NY 11791-4532
(516) 682-4800
(516) 682-9024
Mailing address
175 JERICHO TPKE, SUITE 201, SYOSSET, NY 11791-4532
(516) 682-4800
(516) 682-9024

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
111418-1
NY

Other

Enumeration date
08/03/2005
Last updated
07/08/2007
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