Individual
MANSOOR JELVEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 OLD COUNTRY RD, SUITE 102, PLAINVIEW, NY 11803-4942
(516) 935-8877
(516) 935-8826
Mailing address
875 OLD COUNTRY RD, SUITE 102, PLAINVIEW, NY 11803-4942
(516) 935-8877
(516) 935-8826
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
128926
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110037592
MC RR
NY
Enumeration date
07/04/2006
Last updated
07/03/2013
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