Individual
ZARINA MANDELBLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
615 HAMPTON AVE, BROOKLYN, NY 11235-3709
(718) 743-7090
Mailing address
PO BOX 351154, BROOKLYN, NY 11235-8954
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
227160
NY
208100000X
Physical Medicine & Rehabilitation Physician
MA078677
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02407610
—
NY
Enumeration date
06/21/2006
Last updated
07/08/2007
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