Individual
DR. JOEL MANDELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 HURLEY AVE, KINGSTON, NY 12401-2400
(845) 339-2804
(845) 339-5058
Mailing address
211 HURLEY AVE, KINGSTON, NY 12401-2400
(845) 339-2804
(845) 339-5058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
129228
NY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
129228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00523588
—
NY
Enumeration date
09/23/2005
Last updated
07/25/2016
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