Individual
BASEM MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5607 AVENUE L, BROOKLYN, NY 11234-3317
(718) 758-5220
(718) 758-5260
Mailing address
10 BONNIE DR, NORTH MIDDLETOWN, NJ 07748-5108
(732) 533-7330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038815
NY
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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