BRANDON WILLIAM CRANDALL (NPI# 1205275286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205275286 |
| Entity Type | Individual |
| Full Name | BRANDON WILLIAM CRANDALL |
| Credential | NP |
| Practice Address |
5100 West Taft Rd. Suite 1c Liverpool NY 13088 |
| Mailing Address |
37 W Garden St Ste 105 Auburn NY 13021-2663 |
| Practice Telephone | 3154522333 |
| Practice Fax Number | 3154522336 |
| Mailing Telephone | 3152520000 |
| Mailing Fax Number | 3152520070 |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2014-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F337995 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321727 | Brandon Ray Crandall | Chiropractor | 1831 W Court St, Ste 1, Janesville, WI 53548-3406 | 2005-07-26 |
| Street Address |
5100 WEST TAFT RD. SUITE 1C |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| 1902105273 | Nicole Marie Fetzer | Nurse Anesthetist, Certified Registered | 225 Greenfield Pkwy Ste 105, Liverpool, NY 13088 | 2011-03-25 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859279 | Hannah G Pastuf | Nurse Practitioner | 7401 Farmstead Rd, Liverpool, NY 13088-4715 | 2020-07-27 |
| 1023626793 | Naomi L Mehmedovic | Nurse Practitioner | 8324 Oswego Rd Ste D, Liverpool, NY 13090-1086 | 2020-07-20 |
| 1437793874 | Sarah Wells | Nurse Practitioner | 5112 W Taft Rd Ste H, Liverpool, NY 13088-4991 | 2019-10-29 |
| 1629637970 | Kelly Finn | Nurse Practitioner | 4820 W Taft Rd Ste 108, Liverpool, NY 13088-4865 | 2019-06-11 |
| 1669917605 | Jesmoneet Bobb-diallo | Nurse Practitioner | H10 Spruce Tree Cir, Liverpool, NY 13090-3340 | 2016-12-29 |
| 1275529950 | Linda Anne Pryor | Nurse Practitioner | 1020 7th North St, Ste 220, Liverpool, NY 13088-6192 | 2005-09-27 |
| 1134732381 | Eleanor Gustke | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-08-27 |
| 1679191787 | Anna Elizabeth Salvagno | Nurse Practitioner | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2020-07-07 |
| 1669013439 | Stephanie Rech | Nurse Practitioner | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2019-10-03 |
| 1528620812 | Colleen Byrnes | Nurse Practitioner | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2019-07-08 |
| Find all providers in LIVERPOOL | ||||
Please comment or provide details below to improve the information on BRANDON WILLIAM CRANDALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.