Individual
MICHELLE MANDELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 WHITE RD, JACKSON, NJ 08527-5012
(718) 208-5814
Mailing address
155 WHITE RD, JACKSON, NJ 08527-5012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1083
NY
Other
Enumeration date
11/07/2012
Last updated
07/05/2017
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