Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broome Surgery & Breast Care, PC

Organization Specialist · NPI 1790960839

Broome Surgery & Breast Care, PC is a Specialist in Johnson City, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

240 Riverside Dr Ste 3
Johnson City, NY 13790-2732
Phone: (607) 729-0443
Fax: (607) 766-9395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0154223 (NY)

Record details

NPI number1790960839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ghassem Mangouri — President · (607) 729-0443
NPI enumeratedJanuary 8, 2008
Last updated in NPPESFebruary 7, 2008
Mailing address240 Riverside Dr, Suite 3, Johnson City, NY 13790-2732

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