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Contact Information

MANSOOR AHMED
100 NICOLLS RD
STONY BROOK, NY11794-8166
 Phone: 631-444-1617
 Fax: 631-546-7004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MANSOOR AHMED · (Male)

NPI # 1366154742
Status Active
Credentials
Entity Individual
Enumeration date 12/19/2022
Last updated 12/19/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 000000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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