Individual
NAIM MANSUROGLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5835
(718) 780-5836
Mailing address
PO BOX 7490, SHREWSBURY, NJ 07702-7490
(718) 780-5835
(718) 780-5836
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
230053
NY
207RP1001X
Pulmonary Disease Physician
230053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207896
—
NJ
05
—
02589191
—
NY
01
—
P00790824
RR MEDICARE - INTENSIVISTS
NJ
Enumeration date
05/11/2006
Last updated
03/17/2010
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