Organization
MANDAL MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAUSHIK MANDAL MD (PRESIDENT)
(917) 664-4158
Entity
Organization
Contact information
Practice address
230 HILTON AVE STE 106, HEMPSTEAD, NY 11550-8116
(516) 416-4060
Mailing address
14 RAYMOND ST, HICKSVILLE, NY 11801-4332
(917) 664-4158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
03/21/2022
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