Individual
LINDSAY MANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
726 E MAIN ST, MIDDLETOWN, NY 10940-2653
(845) 394-0080
Mailing address
726 E MAIN ST, MIDDLETOWN, NY 10940-2653
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05947957
—
NY
Enumeration date
11/10/2020
Last updated
11/10/2020
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