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NPI Code Detail

MEDICARE: MS. STELLA MARIA P. MANSUKHANI MD

MEDICARE: MS. STELLA MARIA P. MANSUKHANI MD
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
1208100000XPhysical Medicine & Rehabilitation Physician244907NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760681142
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STELLA MARIA P. MANSUKHANI MD
Provider Business Mailing Address
First Line : 111 WADSWORTH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10033-6102
Country : US
Telephone Number : 212-740-7400
Fax Number : 212-740-7408
Provider Business Practice Location Address
First Line : 111 WADSWORTH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10033-6102
Country : US
Telephone Number : 212-740-7400
Fax Number : 212-740-7408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2007
Last Update Date : 08/18/2015

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