| Renato Y Mandanas | |
|
144 W 5th St Oswego NY 13126-2552 | |
| (315) 342-1765 | |
| (315) 342-1742 |
| Full Name | Renato Y Mandanas |
|---|---|
| Speciality | Internal Medicine |
| Location | 144 W 5th St, Oswego, New York |
| Authorized Official Name and Position | Renato Yap Mandanas (OWNER/EMPLOYER) |
| Authorized Official Contact | 3153421765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renato Y Mandanas 144 W 5th St Oswego NY 13126-2552 Ph: (315) 342-1765 | Renato Y Mandanas 144 W 5th St Oswego NY 13126-2552 Ph: (315) 342-1765 |
| NPI Number | 1235338625 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 08/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235338625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 152086 (New York) | Primary |
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