Individual
DR. ARNOLD MANDELSTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80-44 190 ST, JAMAICA, NY 11423-1309
(718) 479-6699
(718) 776-6551
Mailing address
8044 190TH ST, JAMAICA, NY 11423-1039
(718) 479-6699
(718) 776-6551
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
149158
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00759875
—
NY
Enumeration date
03/26/2006
Last updated
10/15/2010
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