Provider Demographics
NPI:1588927529
Name:HANDEL, MERRYL (MS ED,)
Entity type:Individual
Prefix:MRS
First Name:MERRYL
Middle Name:
Last Name:HANDEL
Suffix:
Gender:F
Credentials:MS ED,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:893 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1915
Mailing Address - Country:US
Mailing Address - Phone:516-984-8858
Mailing Address - Fax:516-374-4098
Practice Address - Street 1:893 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1915
Practice Address - Country:US
Practice Address - Phone:516-984-8858
Practice Address - Fax:516-374-4098
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126152861174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist