Stacey Lee Mandelbaum, MD is a
General Practice physician based in Queensbury, New York. Stacey Lee Mandelbaum is licensed to practice in New York (license number 173500) and her current practice location is 57 Willow Rd, Queensbury, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 796-6338.
NPI number for Stacey Lee Mandelbaum is 1932920618 and her current mailing address is 57 Willow Rd, Queensbury, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932920618.
Physician's Profile
Full Name | Stacey Lee Mandelbaum |
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Gender | Female |
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Speciality | General Practice |
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Location | 57 Willow Rd, Queensbury, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932920618
- Provider Enumeration Date: 10/24/2024
- Last Update Date: 10/24/2024
Medical Identifiers
Medical identifiers for Stacey Lee Mandelbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932920618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 173500 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Lee Mandelbaum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacey Lee Mandelbaum, MD 57 Willow Rd, Queensbury, NY 12804-1241 Ph: (518) 796-6338 | Stacey Lee Mandelbaum, MD 57 Willow Rd, Queensbury, NY 12804-1241 Ph: (518) 796-6338 |
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