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Individual

ALAN J MANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 483-5989
(845) 483-5912
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
212988
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01905182
NY
Enumeration date
07/11/2005
Last updated
09/01/2021
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