Individual provider · Type 1 NPI
Jared Benjamin Mandel, DC
Chiropractor · Bayside, NY
NPI number
1962526442
Active
Practice location
21432 43rd Ave, Suite 113
Bayside, NY 11361-2956
Fax (718) 631-9526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X010278 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1962526442
Jared Benjamin Mandel, DC's National Provider Identifier is 1962526442, issued on Mar 19, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bayside, NY. The record was last updated on Jul 8, 2007.