Individual
JENNIFER MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4277 HEMPSTEAD TPKE, SUITE 206, BETHPAGE, NY 11714-5709
(516) 731-6505
Mailing address
49 E 7TH ST APT 2, NEW YORK, NY 10003-8290
(917) 974-4108
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
279856
NY
Other
Enumeration date
04/07/2011
Last updated
12/21/2015
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