Individual
DANIELLE MAHLSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
PO BOX 647, ATTN: CREDENTIALING, GRESHAM, OR 97030-0167
(503) 666-5050
(503) 666-7410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
08/10/2016
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