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MRS. CAROLE HEIDI MANTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
75 NASSAU TERMINAL RD, NEW HYDE PARK, NY 11040-4927
(516) 280-1000
(516) 280-1074
Mailing address
75 NASSAU TERMINAL RD, NEW HYDE PARK, NY 11040-4927
(516) 280-1000
(516) 280-1074

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
034678
NY

Other

Enumeration date
02/19/2010
Last updated
02/19/2010
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