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Individual

MEHRAN MANOUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7655 AUSTIN ST, FOREST HILLS, NY 11375-6948
(718) 897-2228
(718) 897-2251
Mailing address
PO BOX 230406, GREAT NECK, NY 11023-0406
(718) 897-2228
(718) 897-2251

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
184765
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01393044
NY
Enumeration date
02/07/2006
Last updated
03/25/2014
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