Individual
DR. MANOUCHEHR AMINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 DEKALB AVENUE, BROOKLYN, NY 11201
(718) 250-8751
(718) 250-8449
Mailing address
121 DEKALB AVENUE, BROOKLYN, NY 11201
(718) 250-8751
(718) 250-8449
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
114689
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00210086
—
NY
Enumeration date
10/03/2006
Last updated
07/08/2007
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