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Bethel Mandefro

NPI 1295671659 · on the registry since 2026 · sole proprietor

Practice

Address
4422 3rd Ave # 10457
Bronx, NY 10457
Phone
(718) 960-6202
Clinicians at this address
2

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York