National Provider Identifier
Jean Thechelet Mandat, DO
Jean Thechelet Mandat, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 413-1800.
Profile Overview
- NPI
- 1174903520
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- June 01, 2015
- Last Updated
- March 21, 2025
Practice Location
- 1300 Jefferson RD Ste 500
- Rochester, NY 14623-3197
Phone: (585) 413-1800
Mailing Address
- 601 Elmwood Ave Box 655
- Rochester, NY 14642-8655
Specialties
- Family Medicine Physician (207Q00000X)
Endpoints
- jmandat242804@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1174903520
- Entity Type
- Individual
- Last Name
- Mandat
- First Name
- Jean
- Middle Name
- Thechelet
- Credential
- DO
- Mailing Street Address
- 601 Elmwood Ave Box 655
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8655
- Mailing Country
- US
- Practice Street Address
- 1300 Jefferson RD Ste 500
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-3197
- Practice Country
- US
- Practice Phone
- (585) 413-1800
- Enumeration Date
- June 01, 2015
- Last Updated
- March 21, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 21, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)