Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 006872 | NY |
NPI | 1073923454 |
---|---|
Provider Name | Dr. Alex Benjamin Mand |
First Address | Roslyn Heights, NY 11577-1411 |
Second Address | Brooklyn, NY 11203-1851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2014 |
Last Update Date | 06/04/2020 |