NPI 1083615561 · live from the CMS NPI Registry
Koniver Fiss Mansoory MD PA
Radiology, Diagnostic Radiology in Wilmington, DE. National Provider Identifier 1083615561, active.
NPI record
| NPI | 1083615561 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1701 Augustine Cut Off, Bldg. 4, Wilmington, DE 19803 |
| Practice phone | 302-652-3016 |
| Mailing address | 1160 Pittsford Victor Rd Ste D, Second Floor, Pittsford, NY 14534 |
| Enumerated | August 9, 2005 |
| Last updated | April 12, 2017 |
| Authorized official | Anthony Scola, Managing Partner |
| Other names | Papastavros Associates Medical Imaging LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 1989029182 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.