Provider Demographics
NPI:1730989930
Name:MANSOUR, FEBRONIA MORCOS
Entity type:Individual
Prefix:
First Name:FEBRONIA
Middle Name:MORCOS
Last Name:MANSOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 DI BELLA DR
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-5155
Mailing Address - Country:US
Mailing Address - Phone:518-836-9966
Mailing Address - Fax:
Practice Address - Street 1:1041 DI BELLA DR
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-5155
Practice Address - Country:US
Practice Address - Phone:518-836-9966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program