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Organization

MANDEL-WILENTZ DERMATOLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITCHELL J MANDEL MD (PRESIDENT)
(516) 506-7546
Entity
Organization

Contact information

Practice address
45 NORTHERN BLVD, GREENVALE, NY 11548-1346
(516) 506-7546
Mailing address
45 NORTHERN BLVD, GREENVALE, NY 11548-1346
(516) 506-7546
(516) 259-2499

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
184691
NY
207ND0101X
MOHS-Micrographic Surgery Physician
184691
NY
207ND0900X
Dermatopathology Physician
184691
NY
207NP0225X
Pediatric Dermatology Physician
184691
NY
207NS0135X
Procedural Dermatology Physician
184691
NY

Other

Enumeration date
06/07/2012
Last updated
04/16/2026
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