Individual
CHRISTOPHER MICHAEL MAENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 BROADWAY, SUITE 223, ULSTER PARK, NY 12487-5209
(845) 339-6680
Mailing address
120 MAPLE RIDGE DRIVE, ULSTER PARK, NY 12487
(845) 339-6680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
202940-1
NY
207Q00000X
Family Medicine Physician
MD061934L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018500920003
—
PA
01
—
120204
UNISON PCP
PA
01
—
122177
UNISON OB
PA
Enumeration date
03/09/2006
Last updated
02/24/2023
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