Individual
CLEMENS A MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8375 WOODHAVEN BLVD, WOODHAVEN, NY 11421-1535
(718) 849-5012
(718) 805-2422
Mailing address
8375 WOODHAVEN BLVD, WOODHAVEN, NY 11421-1535
(718) 849-5012
(718) 805-2422
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
139190
NY
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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