STACEY LEE MANDELBAUM MD
NPI 1932920618
General Practice in Queensbury, NY

Q: What is Stacey Mandelbaum's NPI number?

The NPI number for Stacey Mandelbaum is 1932920618. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Q: What is Stacey Mandelbaum's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Mandelbaum was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2024

57 WILLOW RD, QUEENSBURY, NY 12804(518) 796-6338 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stacey Lee Mandelbaum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY LEE MANDELBAUM MD (NPI 1932920618) is an individual general practice provider in Queensbury, New York, licensed in New York (173500) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1932920618

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameSTACEY LEE MANDELBAUMCredential: MD

Location Address57 WILLOW RDQueensbury, NY 12804-1241

Mailing Address57 Willow RdQueensbury, NY 12804-1241 · (518) 796-6338

Phone(518) 796-6338

Sole ProprietorYes

Enumeration DateOctober 24, 2024

NPPES CertifiedOctober 24, 2024

✔ NPI 1932920618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 173500

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

57 WILLOW RD, Queensbury, NY 12804

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Mandelbaum's NPI number?

The NPI number for Stacey Mandelbaum is 1932920618. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Where is Stacey Mandelbaum located?

Stacey Mandelbaum practices at 57 Willow Rd, Queensbury, NY 12804. The listed phone number is (518) 796-6338.

What is Stacey Mandelbaum's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Stacey Mandelbaum was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.