MEDICARE: ARUBAH MANSOOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	030830	NY

General Provider Information

NPI Number	:	1053260331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARUBAH MANSOOR

Provider Business Mailing Address
First Line	:	144 SHOTWELL AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-1958
Country	:	US
Telephone Number	:	929-247-5371
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 SOUTH AVE STE 704
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3784
Country	:	US
Telephone Number	:	718-303-9777
Fax Number	:	718-303-9778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ ARUBAH MANSOOR ” Practice Location

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