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

Mansoor Ahmed

Individual provider Nephrology Physician · NPI 1366154742

Mansoor Ahmed is a Nephrology Physician in Stony Brook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

100 Nicolls Rd
Stony Brook, NY 11794-8166
Phone: (631) 444-1617
Fax: (631) 546-7004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 000000 (NY)

Record details

NPI number1366154742
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 17, 2022
Mailing address100 Nicolls Rd, Stony Brook, NY 11794-8166

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