Individual ProviderMohamed MansourStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1555 Long Pond Rd, Rochester, NY 14626-4164(585) 723-7000PECOS EnrollmentBased on the most recent information from CMS, provider Mohamed Mansour does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1700776440Provider TypeIndividualFull NameMansour, MohamedCredentialMBBSGenderMaleSole ProprietorNoEnumeration Date7/5/2025Last Updated7/5/2025Contact InformationPractice LocationPractice Address1555 Long Pond Rd, Rochester, NY 14626-4164Phone(585) 723-7000FaxUnlisted FaxMailing LocationMailing Address1555 Long Pond Rd, Rochester, NY 14626-4164PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer