Mandelcorn, Mark Samuel

Mandelcorn, Mark Samuel is an individual health care provider with primary practice located at 301 Sterling Drive , Orchard Park NY 14127-1570. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mandelcorn, Mark Samuel can be contacted via phone (716) 677-6500.

Contact Information

Primary practice address
301 Sterling Drive Orchard Park NY 14127-1570
Phone: (716) 677-6500
Fax: (716) 677-6507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 188981 New York

Profile Details

NPI number 1013966944
LBN Legal business name Mandelcorn, Mark Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jul 8th, 2007 - about 19 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 1013966944 NPPES
New York Other 000511371002 HEALTH NOW NEW YORK
New York Other 0807246 HEALTH NOW NEW YORK
New York MEDICAID 01843109 HEALTH NOW NEW YORK

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