Individual
MANZOOR UL MAHBUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
8268 164TH ST RM P129, JAMAICA, NY 11432-1121
(718) 883-4615
(718) 883-6312
Mailing address
8268 164TH ST RM P129, JAMAICA, NY 11432-1121
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
U000232-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZN29124N
—
NY
Enumeration date
06/05/2019
Last updated
06/05/2019
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