Dr. Jill Anne Mandel
Physical Therapist - Pediatrics
380 Washington Ave
Roosevelt
, New York 11575-1845
Dr. Jill Anne Mandel
Physical Therapist - Pediatrics
380 Washington Ave
Roosevelt
, New York 11575-1845
(516) 223-6442
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Dr. Jill Anne Mandel
- 1643 Benedict Pl
- North Baldwin, NY
- Zip : 11510-1712
- Phone : (516) 223-6442
Second Address
- Dr. Jill Anne Mandel
- 380 Washington Ave
- Roosevelt, NY
- Zip : 11575-1845
- Phone : (516) 378-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 028109-1 | NY |
| N | 2251P0200X | Physical Therapist - Pediatrics | 40QA01128500 | NJ |
National Provider Identifier
| NPI | 1053565168 |
|---|---|
| Provider Name | Dr. Jill Anne Mandel |
| First Address | North Baldwin, NY 11510-1712 |
| Second Address | Roosevelt, NY 11575-1845 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2008 |
| Last Update Date | 17/11/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.