Individual
DR. JILL ANNE MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 378-2000
Mailing address
1643 BENEDICT PL, NORTH BALDWIN, NY 11510-1712
(516) 223-6442
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
028109-1
NY
2251P0200X
Pediatric Physical Therapist
40QA01128500
NJ
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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