Lyris Mansoor, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045131 Issued in NY

Practice address

125 E 64TH St Ofc 1
New York, NY 10065-7041

Phone

(212) 734-7508

Fax

(646) 600-5067

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1275684201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E 64TH ST OFC 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657041",
            "telephone_number": "212-734-7508",
            "fax_number": "646-600-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 64TH ST OFC 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657041",
            "telephone_number": "212-734-7508",
            "fax_number": "646-600-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOOR",
        "first_name": "LYRIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnna Manso, MSN, CPNP-PC
• Aaron N Manson, MD
• Daniel Kurzer Manson, M.D.
• Charles A Mansoor
• Ethan Mansoor
• Marium Mansoor, MBBS
• Nadia Mansoor, MD
• Noah M Mansoor
• Saba Bernice Mansoubi
• Dana Mansour, LMSW

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.