Individual
DR. MARK G MANDATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
109 CHESTER ST, MOUNT VERNON, NY 10552-3203
(914) 668-4101
Mailing address
109 CHESTER ST, MOUNT VERNON, NY 10552-3203
(914) 668-4101
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005153-1
NY
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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