Individual
AMR ELMANSOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 LILAC LN, HOLTSVILLE, NY 11742-2554
(216) 835-7151
Mailing address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028099
NY
Other
Enumeration date
12/28/2020
Last updated
09/24/2025
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