Individual ProviderMayce MansourInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address17 E 102nd St, New York, NY 10029-5204(212) 659-8551(212) 987-3100PECOS EnrollmentBased on the most recent information from CMS, provider Mayce Mansour is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1699038968Provider TypeIndividualFull NameMansour, MayceCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date6/20/2012Last Updated7/18/2016Contact InformationPractice LocationPractice Address17 E 102nd St, New York, NY 10029-5204Phone(212) 659-8551Fax(212) 824-2317Mailing LocationMailing Address1 Gustave L Levy Pl, Box 3000, New York, NY 10029-6504Phone(212) 987-3100Fax(212) 731-5210Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense278988New YorkCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer