Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N006886 | NY |
NPI | 1093179285 |
---|---|
Provider Name | David Mandil |
First Address | Brooklyn, NY 11226-6599 |
Second Address | Brooklyn, NY 11226-6599 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2016 |
Last Update Date | 07/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093179285 | INDIVIDUAL NPI NUMBER (01) | NY |