Individual
MIRIAN GOLDIE MANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CM, LM
Contact information
Practice address
704 E 2ND ST, BROOKLYN, NY 11218-5604
(718) 437-3799
Mailing address
704 E 2ND ST, BROOKLYN, NY 11218-5604
(718) 437-3799
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F001642-1
NY
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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