Organization
NY MOBILE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN GANDELMAN MD (CEO)
(203) 869-5515
Entity
Organization
Contact information
Practice address
700 N PALMETTO ST, LEESBURG, FL 34748-4419
(203) 869-5515
(203) 869-5765
Mailing address
65 BROADWAY STE 903, NEW YORK, NY 10006-2531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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