| Doctor Name: | LINDSAY MANDRINO |
| NPI Number: | 1063709632 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPAC |
| License Number: | 014846 |
| Business Practice Address: | 7731 Porter Road Niagara Falls, NY - 143041681 |
| Business Phone Number: | 7165750075 |
| Business Fax Number: | 7162420611 |
| Mailing Address: | 7731 Porter Road, NIAGARA FALLS |
| State: | NY |
| Postal Code: | 143041681 |
| Phone Number: | 7165750075 |
| Fax Number: | 7162420611 |
| NPI Enumeration Date: | 07/05/2011 |
| NPI Last Update Date: | 07/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 014846 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |