Individual
YARDENA MANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 REID AVE, PASSAIC, NJ 07055-3414
(973) 518-1100
Mailing address
88 REID AVE, PASSAIC, NJ 07055-3414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00966700
NJ
364SF0001X
Family Health Clinical Nurse Specialist
26NJ00966700
NJ
Other
Enumeration date
12/30/2019
Last updated
08/09/2024
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