Most Relevant Information
Provider Data
| NPI Number: | 1003309790 |
| Provider Name: | ADAM DEAN MANDEL PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 68P08737 |
Most Important Dates
| Enumeration Date: | 06/07/2018 |
| Last Updated: | 06/07/2018 |
Provider Practice Location
1841 BROADWAY
NEW YORK
NY
100237603
Practice Location Phone/Fax
| Phone: | 2123333444 |
| Fax: |
Provider Mailing Location
60 W 66TH ST APT 32C
NEW YORK
NY
100236221
Provider Mailing Phone/Fax
| Phone: | 9174538493 |
| Fax: |