Mandelbaum, Joel

Mandelbaum, Joel is an individual health care provider with primary practice located at 211 Hurley Ave , Kingston NY 12401-2400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mandelbaum, Joel can be contacted via phone (845) 339-2804.

Contact Information

Primary practice address
211 Hurley Ave Kingston NY 12401-2400
Phone: (845) 339-2804
Fax: (845) 339-5058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 129228 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 129228 New York

Profile Details

NPI number 1629064787
LBN Legal business name Mandelbaum, Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jul 25th, 2016 - about 8 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 1629064787 NPPES
New York MEDICAID 00523588

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