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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

NPI # 1821359670
LBN Legal business name MANDEL-WILENTZ DERMATOLOGY PLLC
Authorized official MITCHELL MANDEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2012
Last updated 04/16/2026 - About 2 months ago
Identifiers
NY License # 184691
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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