MEDICARE: DR. SETH A. MANDEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	205302	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255444022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SETH A. MANDEL M.D.

Provider Business Mailing Address
First Line	:	109 W. 27TH STREET
Second Line	:	SUITE 5S
City	:	NEW YORK
State	:	NY
Zip	:	10001
Country	:	US
Telephone Number	:	833-351-8255
Fax Number	:	888-815-3583

Provider Business Practice Location Address
First Line	:	101 N. MONROE STREET
Second Line	:	SUITE 800 (PRIVATE OFFICE 860)
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-1500
Country	:	US
Telephone Number	:	833-351-8255
Fax Number	:	888-815-3583

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	04/16/2025

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