Individual
DR. CHAIM Y. MANDELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 MAIDEN LN, SUITE 1206, NEW YORK, NY 10038-4810
(212) 995-6495
(212) 844-6772
Mailing address
75 MAIDEN LN, SUITE 1206, NEW YORK, NY 10038-4810
(646) 602-8030
(646) 602-9154
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
193523
NY
207LA0401X
Addiction Medicine (Anesthesiology) Physician
193523
NY
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
193523
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
193523
NY
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
193523
NY
208VP0000X
Pain Medicine Physician
193523
NY
208VP0014X
Interventional Pain Medicine Physician
193523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02338136
—
NY
01
—
175327
ELDERPLAN
NY
01
—
2889995
CIGNA
NY
01
—
5303223
GROUP HEALTH INCORPORATED
NY
01
—
7589421
AETNA
NY
01
—
CM032P6130
EMPIRE BCBS-MANHATTAN
NY
01
—
CM03N02910
EMPIRE BCBS-BROOKLYN
NY
01
—
N82711
HEALTHNET
NY
01
—
P00219281
MEDICARE RAILROAD
NY
01
—
P2676389
OXFORD HEALTH PLANS
NY
Enumeration date
02/02/2007
Last updated
04/10/2023
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