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

Broome Surgery & Breast Care, PC

Organization Specialist · NPI 1790960839

Broome Surgery & Breast Care, PC provides Specialist services in Johnson City, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

240 Riverside Dr Ste 3
Johnson City, NY 13790-2732 Not confirmed with CMS for 18 years — call before visiting
Phone: (607) 729-0443
Fax: (607) 766-9395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0154223 (NY)

Record details

NPI number1790960839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ghassem Mangouri — President · (607) 729-0443
NPI enumeratedJanuary 8, 2008
Last updated in NPPESFebruary 7, 2008
Mailing address240 Riverside Dr, Suite 3, Johnson City, NY 13790-2732

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