MEDICARE: TINA S SINDWANI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	222036	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	222036	OTHER	NY	LICENSE

General Provider Information

NPI Number	:	1023172053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINA S SINDWANI MD

Provider Business Mailing Address
First Line	:	17 W 24TH ST FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-3398
Country	:	US
Telephone Number	:	646-819-5100
Fax Number	:	646-819-5100

Provider Business Practice Location Address
First Line	:	17 W 24TH ST FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-3398
Country	:	US
Telephone Number	:	646-820-7101
Fax Number	:	646-809-4665

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	09/27/2023

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