Individual
STACEY LEE MANDELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
57 WILLOW RD, QUEENSBURY, NY 12804-1241
(518) 796-6338
Mailing address
57 WILLOW RD, QUEENSBURY, NY 12804-1241
(518) 796-6338
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
173500
NY
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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