Organization
BELFORT PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR MANSOUR (OFFICE MANAGER)
(312) 912-2408
Entity
Organization
Contact information
Practice address
808 COLUMBUS AVE APT 21C, NEW YORK, NY 10025-5169
(312) 912-2408
Mailing address
808 COLUMBUS AVE APT 21C, NEW YORK, NY 10025-5169
(312) 912-2408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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