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Organization
JENNIFER BAGG MD & PHYLLIS MANDEL MD PC
Active
Organization
JENNIFER BAGG MD & PHYLLIS MANDEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER GAIL BAGG MD (MEDICAL DOCTOR)
(914) 576-2010
Entity
Organization
Contact information
Practice address
1255 NORTH AVE, NEW ROCHELLE, NY 10804
(914) 576-2010
(914) 576-2529
Mailing address
1255 NORTH AVE, NEW ROCHELLE, NY 10804
(914) 576-2010
(914) 576-2529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
181534
NY
207R00000X
Internal Medicine Physician
184941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01735473
—
NY
Enumeration date
11/22/2006
Last updated
08/22/2020
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