Individual
DR. MITCHELL JAY MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
116 E 68TH ST APT 1C, NEW YORK, NY 10065-5995
(212) 570-9595
(646) 569-9881
Mailing address
45 NORTHERN BLVD, GREENVALE, NY 11548-1346
(212) 570-9595
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
184691
NY
207ND0900X
Dermatopathology Physician
184691
NY
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
184691
NY
207NP0225X
Pediatric Dermatology Physician
184691
NY
207NS0135X
Procedural Dermatology Physician
184691
NY
Other
Enumeration date
10/12/2006
Last updated
04/16/2026
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