Mandel, Irina

Mandel, Irina is an individual health care provider with primary practice located at 340C Ramapo Valley Rd , Oakland NJ 07436-2711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mandel, Irina can be contacted via phone (973) 962-6200.

Contact Information

Primary practice address
340C Ramapo Valley Rd Oakland NJ 07436-2711
Fax: (973) 962-0046
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00419100 New Jersey

Profile Details

NPI number 1720421001
LBN Legal business name Mandel, Irina
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2013
Last updated Mar 14th, 2023 - about last year

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 1720421001 NPPES
New Jersey MEDICAID 7726805

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