National Provider Identifier
Mark Samuel Mandelcorn, MD
Mark Samuel Mandelcorn, MD is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Orchard Park, NY and a listed phone number of (716) 677-6500.
Profile Overview
- NPI
- 1013966944
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- May 08, 2006
- Last Updated
- July 08, 2007
Practice Location
- 301 Sterling Drive
- Orchard Park, NY 14127-1570
Phone: (716) 677-6500
Specialties
- Ophthalmology Physician (207W00000X)
Full Record
- NPI
- 1013966944
- Entity Type
- Individual
- Last Name
- Mandelcorn
- First Name
- Mark
- Middle Name
- Samuel
- Name Prefix
- Mr.
- Credential
- MD
- Mailing Street Address
- 301 Sterling Drive
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1570
- Mailing Country
- US
- Mailing Phone
- (716) 677-6500
- Mailing Fax
- (716) 677-6507
- Practice Street Address
- 301 Sterling Drive
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1570
- Practice Country
- US
- Practice Phone
- (716) 677-6500
- Practice Fax
- (716) 677-6507
- Enumeration Date
- May 08, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X)
- Other Identifiers
- 000511371002 (NY, Health Now New York), 0807246 (NY, Independent Health), 01843109 (NY)