Individual
FARHANA MANSOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
SOUTH SHORE ASSOCIATION FOR INDEPENDENT LIVING, INC., 1976 GRAND AVENUE, BALDWIN, NY 11510
(516) 855-1800
(516) 855-1811
Mailing address
SOUTH SHORE ASSOCIATION FOR INDEPENDENT LIVING, INC., 1976 GRAND AVENUE, BALDWIN, NY 11510
(516) 855-1800
(516) 855-1811
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
238665-1
NY
Other
Enumeration date
12/26/2007
Last updated
12/17/2019
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