Individual
DR. DONALD MYRON MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
369 93RD ST, BROOKLYN, NY 11209-6901
(718) 680-6000
(718) 680-3682
Mailing address
369 93RD ST, BROOKLYN, NY 11209-6901
(718) 680-6000
(718) 680-3682
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
094638
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112492182
PROVIDER ID#
NY
Enumeration date
07/12/2005
Last updated
12/30/2009
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