Provider Demographics
NPI:1760535975
Name:MENDELSON, HAROLD LESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:LESTER
Last Name:MENDELSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:70 SALEM RD
Mailing Address - Street 2:
Mailing Address - City:POUND RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10576-1503
Mailing Address - Country:US
Mailing Address - Phone:914-764-4010
Mailing Address - Fax:914-764-4010
Practice Address - Street 1:70 SALEM RD
Practice Address - Street 2:
Practice Address - City:POUND RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10576-1503
Practice Address - Country:US
Practice Address - Phone:914-764-4010
Practice Address - Fax:914-764-4010
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY087712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10626Medicare UPIN