Individual
SORA MANDELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
4815 LIBERTY AVE STE 215, PITTSBURGH, PA 15224-2156
(412) 235-5900
(412) 235-5901
Mailing address
4815 LIBERTY AVE STE 215, PITTSBURGH, PA 15224-2156
(412) 235-5900
(412) 235-5901
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006417
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103597100
—
PA
01
—
14395489
CAQH
—
Enumeration date
01/08/2019
Last updated
10/14/2020
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