Provider Demographics
NPI:1861749145
Name:MANDEL, CHAYA (MS,ED)
Entity type:Individual
Prefix:MRS
First Name:CHAYA
Middle Name:
Last Name:MANDEL
Suffix:
Gender:F
Credentials:MS,ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 55TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4313
Mailing Address - Country:US
Mailing Address - Phone:718-853-9812
Mailing Address - Fax:
Practice Address - Street 1:1514 55TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4313
Practice Address - Country:US
Practice Address - Phone:718-853-9812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator