Mr. Mark Samuel Mandelcorn
Ophthalmologist
301 Sterling Drive
Orchard Park
, New York 14127-1570
Mr. Mark Samuel Mandelcorn
Ophthalmologist
301 Sterling Drive
Orchard Park
, New York 14127-1570
(716) 677-6507
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Mr. Mark Samuel Mandelcorn
- 301 Sterling Drive
- Orchard Park, NY
- Zip : 14127-1570
- Fax : (716) 677-6507
- Phone : (716) 677-6500
Second Address
- Mr. Mark Samuel Mandelcorn
- 301 Sterling Drive
- Orchard Park, NY
- Zip : 14127-1570
- Fax : (716) 677-6507
- Phone : (716) 677-6500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 188981 | NY |
National Provider Identifier
| NPI | 1013966944 |
|---|---|
| Provider Name | Mr. Mark Samuel Mandelcorn |
| First Address | Orchard Park, NY 14127-1570 |
| Second Address | Orchard Park, NY 14127-1570 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000511371002 | HEALTH NOW NEW YORK (01) | NY |
| 01843109 | (05) | NY |
| 0807246 | INDEPENDENT HEALTH (01) | NY |
| F27826 | (02) |
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.