Gary P Mandell is a Clinical in Great Neck, New York. Gary P Mandell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary P Mandell is 1497884563. The last update date is 2007-07-09.
Gary P Mandell's current location address is 39 Maple Dr, Great Neck, New York. You can contact this provider via phone number 5164660618 and fax number 5165614479. The mailing address for Gary P Mandell is 39 Maple Dr, Great Neck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary P Mandell |
|---|---|
| Address | 39 Maple Dr, Great Neck, New York |
| Phone Number | 5164660618 |
| Fax Number | 5165614479 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1497884563 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 39 Maple Dr |
|---|---|
| City | Great Neck |
| State | New York (NY) |
| Post Code | 110211239 |
| Phone Number | 5164660618 |
| Fax Number | 5165614479 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6168-1 |
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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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What is the unique 10-digit identification code assigned to Gary P Mandell by the Centers for Medicare & Medicaid Services?
The Gary P Mandell has been issued the NPI (National Provider Identifier) 1497884563, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gary P Mandell?
The Gary P Mandell is physically situated at 39 Maple Dr, in the city of Great Neck, state of NY, with the postal code 110211239.
What is Gary P Mandell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary P Mandell is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Gary P Mandell receive the assignment of its 1497884563 from the Centers for Medicare & Medicaid Services?
The Gary P Mandell was issued its 1497884563 by the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the information related to Gary P Mandell most recently updated or refreshed?
The details pertaining to the Gary P Mandell, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.