Provider Demographics
NPI:1407024755
Name:LAWRENCE L HANDLER
Entity Type:Organization
Organization Name:LAWRENCE L HANDLER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:914-698-2025
Mailing Address - Street 1:1600 HARRISON AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3145
Mailing Address - Country:US
Mailing Address - Phone:914-698-2025
Mailing Address - Fax:914-698-1276
Practice Address - Street 1:1600 HARRISON AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3145
Practice Address - Country:US
Practice Address - Phone:914-698-2025
Practice Address - Fax:914-698-1276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003565-1332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1307640001Medicare NSC