Individual
MS. STELLA MARIA P. MANSUKHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 WADSWORTH AVE, NEW YORK, NY 10033-6102
(212) 740-7400
(212) 740-7408
Mailing address
111 WADSWORTH AVE, NEW YORK, NY 10033-6102
(212) 740-7400
(212) 740-7408
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
244907
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02891490
—
NY
Enumeration date
07/16/2007
Last updated
08/18/2015
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