Individual
FAISAL MANSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(941) 798-6513
Mailing address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3215138
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
08/10/2023
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