Healthcare Provider Details

I. General information

NPI: 1801697750
Provider Name (Legal Business Name): ABRAHAM BRANDEL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 ROCKAWAY PKWY
BROOKLYN NY
11236-5802
US

IV. Provider business mailing address

726 LAUREL DR
WEST HEMPSTEAD NY
11552-3427
US

V. Phone/Fax

Practice location:
  • Phone: 718-209-8500
  • Fax:
Mailing address:
  • Phone: 516-306-7748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number065548
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: