Individual
MR. DANA E MANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, PCS
Contact information
Practice address
MANDEL THERAPY GROUP, 8842 STATE ROUT 90, KING FERRY, NY 13081
(315) 364-7570
(315) 364-8016
Mailing address
8842 STATE ROUTE 90 N, KING FERRY, NY 13081-8723
(315) 364-7570
(315) 364-8016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009347-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11226092
CAQH PROVIDER ID#
NY
Enumeration date
02/26/2007
Last updated
08/22/2014
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