Individual
LOURDES C. MANDAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 OLD ORANGEBURG RD, ROCKLAND PSYCHIATRIC CENTER, ORANGEBURG, NY 10962-1157
(845) 680-8562
Mailing address
4 POST LANE, PALISADES, NY 10964-0237
(845) 359-1642
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
140038-1
NY
Other
Enumeration date
11/30/2006
Last updated
01/08/2016
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