MEDICARE: ZANE MARTINDALE

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	207Q00000X	Family Medicine Physician	276426	NY

General Provider Information

NPI Number	:	1952643231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZANE MARTINDALE

Provider Business Mailing Address
First Line	:	129 W 29TH ST FL 10
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-5105
Country	:	US
Telephone Number	:	415-658-6791
Fax Number	:	212-867-4353

Provider Business Practice Location Address
First Line	:	2633 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-5022
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:	415-252-7176

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

Provider Enumeration Date	:	03/25/2013
Last Update Date	:	03/19/2025

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Directions to “ ZANE MARTINDALE ” Practice Location

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