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

Park Place Medical PC

Organization Gastroenterology Physician · NPI 1932389731

Park Place Medical PC provides Gastroenterology Physician services in Bayside, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

2912 210th Pl
Bayside, NY 11360-2433 Not confirmed with CMS for 18 years — call before visiting
Phone: (718) 773-2011
Fax: (718) 773-3728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 191343 (NY)

Record details

NPI number1932389731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammed Mansour — President · (718) 773-2011
NPI enumeratedNovember 8, 2007
Last updated in NPPESNovember 8, 2007
Mailing address910 Park Pl, Suite 1-B, Brooklyn, NY 11216-4000

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