Provider Demographics
NPI:1033598628
Name:BRANDEL, LAWRENCE J (R EPT, R EEG T)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:J
Last Name:BRANDEL
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Gender:M
Credentials:R EPT, R EEG T
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Mailing Address - Street 1:399 KNOLLWOOD RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-1916
Mailing Address - Country:US
Mailing Address - Phone:914-949-8501
Mailing Address - Fax:914-949-8502
Practice Address - Street 1:399 KNOLLWOOD RD
Practice Address - Street 2:SUITE 108
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-1916
Practice Address - Country:US
Practice Address - Phone:914-949-8501
Practice Address - Fax:914-949-8502
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
EEG#5061EP#1259246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic