Provider Demographics
NPI:1700849130
Name:MINDEL, JOEL (MD)
Entity Type:Individual
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First Name:JOEL
Middle Name:
Last Name:MINDEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:BOX 1183
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6504
Mailing Address - Country:US
Mailing Address - Phone:212-241-8800
Mailing Address - Fax:212-427-4410
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:BOX 1183
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6504
Practice Address - Country:US
Practice Address - Phone:212-241-8800
Practice Address - Fax:212-427-4410
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2015-04-21
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Provider Licenses
StateLicense IDTaxonomies
NY094664207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00155995Medicaid
NYB17127Medicare UPIN
NY00155995Medicaid