Individual
VIJAY KUMAR S MANDALAYWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 HOSPITAL DR STE 5, MASSENA, NY 13662-1039
(315) 769-4656
(315) 769-4671
Mailing address
17 HOSPITAL DR. , STE 5, MASSENA, NY 13662-1039
(315) 769-4656
(315) 769-4671
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
157002
NY
Other
Enumeration date
11/08/2006
Last updated
10/31/2011
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