Individual
DR. JASON G. MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-2916
(585) 275-6108
Mailing address
601 ELMWOOD AVE BOX 631, ROCHESTER, NY 14642-0001
(585) 275-6090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
309047
NY
208000000X
Pediatrics Physician
MD045139
DC
2080P0202X
Pediatric Cardiology Physician
Primary
309047
NY
363AM0700X
Medical Physician Assistant
309047
NY
Other
Enumeration date
05/28/2014
Last updated
07/07/2023
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