Individual
DR. LYNDA R MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
903 PARK AVE APT 2D, NEW YORK, NY 10075-0361
(212) 988-5400
(212) 988-5404
Mailing address
1020 PARK AVE, STE 6B, NEW YORK, NY 10028-0913
(212) 988-5400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
151612
NY
2084P0800X
Psychiatry Physician
25MA08059400
NJ
2084P0800X
Psychiatry Physician
61594
FL
2085R0203X
Therapeutic Radiology Physician
25MA08059400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08059400
LICENSE
NJ
Enumeration date
07/17/2006
Last updated
06/07/2011
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