Healthcare Provider Details

I. General information

NPI: 1447050232
Provider Name (Legal Business Name): RACHEL CHRISTINE MANDELL FNP-C, MSN, BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL CHRISTINE MANDELL FNP-C, MSN, BSN, RN

II. Dates (important events)

Enumeration Date: 03/19/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 PRESIDENTIAL PLZ
SYRACUSE NY
13202-2240
US

IV. Provider business mailing address

129 LEAVITT RD
OSWEGO NY
13126-6343
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-3835
  • Fax:
Mailing address:
  • Phone: 518-944-7447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF357469-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: