Mandanipour, Behrooz

Mandanipour, Behrooz is an sole proprietor health care provider with primary practice located at 1332 E 36Th St , Brooklyn NY 11234-2704. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Mandanipour, Behrooz can be contacted via phone (718) 926-8855.

Contact Information

Primary practice address
1332 E 36Th St Brooklyn NY 11234-2704
Phone: (718) 926-8855
Fax: (646) 308-9202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N005601 New York

Profile Details

NPI number 1013955061
LBN Legal business name Mandanipour, Behrooz
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Apr 2nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013955061 NPPES
New York MEDICAID 02369946
New York Other A300041434

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