Mandalaywala, Priti V

Mandalaywala, Priti V is an individual health care provider with primary practice located at 1 Hospital Dr , Massena NY 13662-1056. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mandalaywala, Priti V can be contacted via phone (315) 769-4644.

Contact Information

Primary practice address
1 Hospital Dr Massena NY 13662-1056
Phone: (315) 769-4644
Fax: (315) 842-3050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 186000 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 186000 New York

Profile Details

NPI number 1639163777
LBN Legal business name Mandalaywala, Priti V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jan 26th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639163777 NPPES
New York Other 18600 NYS LICENSE
New York MEDICAID 01514598 NYS LICENSE

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