Provider Demographics
NPI:1851462519
Name:MANDEL, ANDREW ALAN (LCS WR)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:ALAN
Last Name:MANDEL
Suffix:
Gender:M
Credentials:LCS WR
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Mailing Address - Street 1:315 WEST 102ND STREET
Mailing Address - Street 2:APT #1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-932-1457
Mailing Address - Fax:718-665-1174
Practice Address - Street 1:401 E 147TH STREET
Practice Address - Street 2:NEW BEGINNINGS COMMUNITY COUNSELING CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455
Practice Address - Country:US
Practice Address - Phone:718-402-5244
Practice Address - Fax:718-665-1174
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYR04972911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical