Individual
MRS. JORDANA SAGE MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 NORTHERN BLVD, SUITE207, GREAT NECK, NY 11021-5118
(516) 466-6165
Mailing address
560 NORTHERN BLVD, SUITE 207, GREAT NECK, NY 11021-5118
(516) 466-6165
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1002300
NY
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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