Most Relevant Information
Provider Data
| NPI Number: | 1003461377 |
| Provider Name: | ALI MANSOUR |
| Entity Type: | Individual |
| Taxonomy Code: | 207XS0117X |
| Specialty: | Orthopaedic Surgery |
| License Number: | 317968 |
Most Important Dates
| Enumeration Date: | 08/05/2019 |
| Last Updated: | 07/22/2023 |
Provider Practice Location
191 N MAIN ST
WELLSVILLE
NY
148951150
Practice Location Phone/Fax
| Phone: | 5855931100 |
| Fax: |
Provider Mailing Location
350 PARRISH ST
CANANDAIGUA
NY
144241731
Provider Mailing Phone/Fax
| Phone: | 5859788770 |
| Fax: |