Individual
MARYANN B MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 992-7669
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
285161
NY
Other
Enumeration date
05/03/2013
Last updated
05/25/2021
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