Individual
JENNIFER MANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WASHINGTON ST, ELMIRA PSYCHIATRIC CENTER, ELMIRA, NY 14901-2898
(607) 737-4711
Mailing address
12 N PARK ST, SENECA FALLS, NY 13148-1437
(315) 568-9412
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-413
NY
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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