Individual
DR. MANOOTCHER KHORSANDI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1874 CLOVE RD, STATEN ISLAND, NY 10304
(718) 273-3737
(718) 273-3737
Mailing address
1874 CLOVE RD, STATEN ISLAND, NY 10304
(718) 273-3737
(718) 273-3737
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
093970
NY
Other
Enumeration date
03/02/2006
Last updated
07/08/2007
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