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Contact Information

MANDEL-WILENTZ DERMATOLOGY PLLC
45 NORTHERN BLVD
GREENVALE, NY11548-1346
 Phone: 516-506-7546
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MANDEL WILENTZ DERMATOLOGY PLLC · (Female)

NPI Number 1821359670
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2012
Last updated 04/16/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 184691
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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