Individual
DR. GARY P MANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
39 MAPLE DR, GREAT NECK, NY 11021-1239
(516) 466-0618
(516) 561-4479
Mailing address
39 MAPLE DR, GREAT NECK, NY 11021-1239
(516) 466-0618
(516) 561-4479
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6168-1
NY
Other
Enumeration date
03/05/2007
Last updated
07/09/2007
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