| Doctor Name: | DR. HAROLD MANDEL |
| NPI Number: | 1801297320 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 156164 |
| Business Practice Address: | 4372 Heritage Dr Apt B10 Liverpool, NY - 130902081 |
| Business Phone Number: | 3153781349 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2057, LIVERPOOL |
| State: | NY |
| Postal Code: | 130892057 |
| Phone Number: | 3153781349 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2014 |
| NPI Last Update Date: | 09/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 156164 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |