Individual
MEHRAN MANSOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 CENTRAL PARK RD, PLAINVIEW, NY 11803-2001
(516) 719-3060
(516) 719-3061
Mailing address
25 CENTRAL PARK ROAD, PLAINVIEW, NY 11803-5018
(516) 719-3060
(516) 719-3061
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
1608981
NY
Other
Enumeration date
09/30/2005
Last updated
07/01/2010
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