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Broome Surgery & Breast Care, P.C.

Specialist in Johnson City, NY · enumerated 2008 · authorized official Ghassem Mangouri, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790960839

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Registry record

Entity type Organization (Type 2)
Legal business name Broome Surgery & Breast Care, P.C.
Practice address 240 Riverside Dr, Suite 3, Johnson City, NY, 13790
Phone (607) 729-0443
Fax (607) 766-9395
Enumeration date Jan 8, 2008
Last updated in NPPES Feb 7, 2008

Taxonomy & classification

174400000X Specialist Other Service Providers · License 0154223 (NY) Primary

Authorized official

Name Ghassem Mangouri
Title President
Phone (607) 729-0443

Other identifiers

Identifier Type State Issuer
00775599 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-02-07. Verify at npiregistry.cms.hhs.gov.
Where is Broome Surgery & Breast Care, P.C. located?
The practice location on file with NPPES is in Johnson City, NY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-07.