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Dr. Tarek Mansour, MD

Student in an Organized Health Care Education/Training Program in Brooklyn, NY. Individual provider (NPI-1).

NPI number1164041240
StatusActive
Last updated in NPPESApr 9, 2020

Details

NPI
1164041240
Entity type
Individual (NPI-1)
Name
Dr. Tarek Mansour
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 9, 2020
Certification date
Apr 9, 2020
Last updated
Apr 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

450 Clarkson Ave
Brooklyn, NY 11203-2012

Phone 718-270-5800

Mailing address

450 Clarkson Ave
Brooklyn, NY 11203-2012

Phone 718-270-5800

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