Mohamed Mansour, | |
2912 210th Pl, Bayside, NY 11360-2433 | |
(718) 773-2011 | |
(718) 773-3728 |
Full Name | Mohamed Mansour |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 2912 210th Pl, Bayside, 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 |
---|---|---|---|
1003848854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 191343 (New York) | Primary |
Entity Name | Interfaith Professional Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457643991 PECOS PAC ID: 9931378171 Enrollment ID: O20110804000598 |
Mailing Address | Practice Location Address |
---|---|
Mohamed Mansour, 2912 210th Pl, Bayside, NY 11360-2433 Ph: (718) 773-2011 | Mohamed Mansour, 2912 210th Pl, Bayside, NY 11360-2433 Ph: (718) 773-2011 |
Saffa Ahmad, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4402 Francis Lewis Blvd, Bayside, NY 11361 Phone: 718-631-0500 | |
Svetlana Fuzaylova, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4402 Francis Lewis Blvd, Suite A, Bayside, NY 11361 Phone: 718-631-0500 Fax: 718-281-1276 | |
Dr. Michael John Papamichael, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4401 Francis Lewis Blvd, Bayside, NY 11361 Phone: 718-717-0280 Fax: 718-717-0286 | |
Miss Niyati N. Trivedi, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 21435 42nd Ave, 3rd Floor, Bayside, NY 11361 Phone: 718-229-4868 | |
John Joachim Rawlings, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 4402 Francis Lewis Blvd, Suite A, Bayside, NY 11361 Phone: 718-631-0500 Fax: 718-281-1276 | |
Elina Yushuvayev, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 22215 Northern Blvd Lbby A, Bayside, NY 11361 Phone: 718-215-0020 Fax: 616-226-4785 |