| Jennifer Bagg Md & Phyllis Mandel Md Pc | |
|
1255 North Ave New Rochelle NY 10804 | |
| (914) 576-2010 | |
| (914) 576-2529 |
| Full Name | Jennifer Bagg Md & Phyllis Mandel Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1255 North Ave, New Rochelle, New York |
| Authorized Official Name and Position | Jennifer Gail Bagg (MEDICAL DOCTOR) |
| Authorized Official Contact | 9145762010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Bagg Md & Phyllis Mandel Md Pc 1255 North Ave New Rochelle NY 10804 Ph: (914) 576-2010 | Jennifer Bagg Md & Phyllis Mandel Md Pc 1255 North Ave New Rochelle NY 10804 Ph: (914) 576-2010 |
| NPI Number | 1891860755 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891860755 | NPI | - | NPPES |
| 01735473 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 181534 (New York) | Primary |
| 207R00000X | Internal Medicine | 184941 (New York) | Secondary |
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