MS. MOLLIE MALKA MANDEL


Address: 11109 76th Ave, Forest Hills, NY 11375-6466
Phone: 3475631588

MS. MOLLIE MALKA MANDEL (NPI# 1336479880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336479880
Entity Type Individual
Full Name MS. MOLLIE MALKA MANDEL
Credential NP
Practice Address 11109 76th Ave
Forest Hills
NY 11375-6466
Mailing Address 115 10 Queens Boulvard
Forest Hills
NY 11375
Practice Telephone 3475631588
Practice Fax Number 7185440972
Mailing Telephone 3475631588
Mailing Fax Number 7185440972
Enumeration Date 2010-01-06
Last Update Date 2010-01-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
335037 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11109 76TH AVE
City FOREST HILLS
State NY
Zip Code 11375-6466

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1831744945 Darius Douglas Counselor Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 2019-08-06
1598329914 Jane Rochelle Pahang Physical Therapist 116-21 Queens Blvd, Forest Hills, NY 11375 2019-05-01
1558828939 Natalie Koptyev Pharmacist 108-14 68th Drive, Forest Hills, NY 11375 2019-02-21
1043782014 Magdalena Lekic Salameh Behavioral Analyst 67-29 Kessel Street, Forest Hills, NY 11375 2018-12-31
1861960031 Bertine Sylvie Alectine Specialist 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 2018-11-06
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Taxonomy Information

Taxonomy Code 364SF0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Family Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598290710 Koudedja Dembele Clinical Nurse Specialist 16 Locust Ave Apt 1h, New Rochelle, NY 10801-7331 2017-04-25
1174067607 Irena Hartell Clinical Nurse Specialist 4 Rolling Way, F, Peekskill, NY 10566-2433 2016-12-19
1245659895 Femi Abioye Clinical Nurse Specialist 187 Beach 73rd St, Arverne, NY 11692-1267 2014-04-10
1750717476 Lea Brener Clinical Nurse Specialist 8855 Bay Pkwy Apt 10k, Brooklyn, NY 11214-6410 2013-09-26
1780019778 Mary B Moran Clinical Nurse Specialist Capna 51 West 51st, Suite 100, New York, NY 10019 2013-09-09
1891088027 Quality Np Family Health, PC Clinical Nurse Specialist 2928 Ditmars Blvd, Second Floor, Astoria, NY 11105-2731 2011-05-20
1366733123 Sheena Varghese Clinical Nurse Specialist 514 N 11th St, New Hyde Park, NY 11040-4213 2011-04-28
1114223062 Durline Marie Brown-manhertz Clinical Nurse Specialist 1825 Eastchester Road, Div of Cardiology, Montefiore Medical Center (weiler Div.), Bronx, NY 10461 2011-02-09
1255659439 Verna Fleary-alexis Clinical Nurse Specialist 379 Lincoln Rd, Brooklyn, NY 11225-4358 2010-05-12
1881911303 Catherine I. Adamcewicz Clinical Nurse Specialist 15 Locust Rd, Northport, NY 11768-1819 2010-04-23
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Competitor

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City FOREST HILLS
Zip Code 11375

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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