Irwin Mansdorf is a Clinical in Flushing, New York. Irwin Mansdorf practices all healthcare services and medical treatments related to Clinical. The NPI Number for Irwin Mansdorf is 1598793184. The last update date is 2016-09-07.
Irwin Mansdorf's current location address is 15230 Jewel Ave, Flushing, New York. You can contact this provider via phone number 7188096871. The mailing address for Irwin Mansdorf is 15230 Jewel Ave, Flushing, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Irwin Mansdorf |
|---|---|
| Address | 15230 Jewel Ave, Flushing, New York |
| Phone Number | 7188096871 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1598793184 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2016-09-07 |
Provider Mailing Address Detail
| Address | 15230 Jewel Ave |
|---|---|
| City | Flushing |
| State | New York (NY) |
| Post Code | 113671436 |
| Phone Number | 7188096871 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 5396 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0340EY | GHI MEDICARE | ||
| 991497 | NY | -- |
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What is the unique identification code assigned to Irwin Mansdorf by the Centers for Medicare & Medicaid Services?
The Irwin Mansdorf has been issued the NPI (National Provider Identifier) 1598793184. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Irwin Mansdorf's facilities are geographically located?
The facilities of Irwin Mansdorf are physically situated at the following location: 15230 Jewel Ave, Flushing, NY, 113671436.
What is Irwin Mansdorf's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Irwin Mansdorf is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When was the Irwin Mansdorf's 1598793184 issued?
The Irwin Mansdorf's 1598793184 was issued on 2006-06-30.
When was the information regarding Irwin Mansdorf, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Irwin Mansdorf, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-09-07.
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