Mehran Mansouri, | |
25 Central Park Rd, Plainview, NY 11803-2001 | |
(516) 719-3060 | |
(516) 719-3061 |
Full Name | Mehran Mansouri |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 25 Central Park Rd, Plainview, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689661019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 1608981 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Mehran Mansouri, 25 Central Park Road, Plainview, NY 11803-5018 Ph: (516) 719-3060 | Mehran Mansouri, 25 Central Park Rd, Plainview, NY 11803-2001 Ph: (516) 719-3060 |
Dr. Brett Michael Keck, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Old Country Rd Ste 204, Plainview, NY 11803 Phone: 516-931-5800 | |
Francesco Tenti, MD Surgery Medicare: Medicare Enrolled Practice Location: 1171 Old Country Rd, Plainview, NY 11803 Phone: 516-663-1479 Fax: 516-433-4083 | |
Dr. Elliot A. Grossman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1097 Old Country Rd, Suite 101, Plainview, NY 11803 Phone: 516-935-1821 Fax: 516-935-2823 | |
Alan T Slepian, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146a Manetto Hill Rd Ste 102, Plainview, NY 11803 Phone: 516-937-6666 Fax: 516-937-1891 | |
Glen Fitterman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Old Country Road, Suite 204, Plainview, NY 11803 Phone: 516-931-5800 Fax: 516-931-1273 | |
Kelly Irene Nordland, MS, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 888 Old Country Rd, Plainview, NY 11803 Phone: 516-719-3000 |