| Organization Name: | MITCHELL J. MANDEL, M.D., P.C. |
| NPI Number: | 1922371558 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MITCHELL JAY MANDEL (PRESIDENT) |
| Mailing Address: | 1 Polo Dr Old Westbury |
| State: | NY US |
| Postal Code: | 115681039 |
| Phone Number: | 2125709595 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2012 |
| NPI Last Update Date: | 09/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207NP0225X |
| License Number: | 184691 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Dermatology |
| Taxonomy Specialization: | Pediatric Dermatology |
| Taxonomy Definition: | A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |