Individual
DR. AHMAD ISMAEL MANASRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 275-4912
(585) 276-2144
Mailing address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 275-4912
(585) 276-2144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010003412
MO
207R00000X
Internal Medicine Physician
BB4745785-2007015198
MO
208M00000X
Hospitalist Physician
Primary
261225
NY
Other
Enumeration date
08/13/2007
Last updated
07/06/2023
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