Organization
NEW LIFE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZARINA MANDELBLAT MD (MD)
(917) 892-6141
Entity
Organization
Contact information
Practice address
801 BROADWAY # 803, BAYONNE, NJ 07002-2920
(917) 892-6141
Mailing address
PO BOX 351154, BROOKLYN, NY 11235-8954
(917) 892-6141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
137887
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068713
—
NY
Enumeration date
11/16/2006
Last updated
08/06/2008
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