MEDICARE: MANDELL MCCURDY

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1578914131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANDELL MCCURDY

Provider Business Mailing Address
First Line	:	1869 HALDANE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1521
Country	:	US
Telephone Number	:	216-570-4686
Fax Number	:

Provider Business Practice Location Address
First Line	:	1869 HALDANE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1521
Country	:	US
Telephone Number	:	216-570-4686
Fax Number	:

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

Provider Enumeration Date	:	06/24/2016
Last Update Date	:	06/24/2016

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Directions to “ MANDELL MCCURDY ” Practice Location

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