Provider Demographics
NPI:1851418529
Name:STANLEY M. MAND, D. D. S., P. C.
Entity Type:Organization
Organization Name:STANLEY M. MAND, D. D. S., P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAND
Authorized Official - Suffix:
Authorized Official - Credentials:D D S
Authorized Official - Phone:718-435-3726
Mailing Address - Street 1:502 39TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-3025
Mailing Address - Country:US
Mailing Address - Phone:718-435-3726
Mailing Address - Fax:718-435-5855
Practice Address - Street 1:502 39TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-3025
Practice Address - Country:US
Practice Address - Phone:718-435-3726
Practice Address - Fax:718-435-5855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY34846261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental