Individual
MICHAEL MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(718) 954-3800
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-5834
NY
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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