Individual
DR. ELIEZER MANDELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7 WENDOVER LN, SUFFERN, NY 10901-4008
(718) 930-8386
Mailing address
3 WAGON WHEEL DR, NEW CITY, NY 10956-1314
(718) 930-8386
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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