Healthcare Provider Details

I. General information

NPI: 1932362472
Provider Name (Legal Business Name): ANNA MARGARET BENDER-ZECKENDORF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA MARGARET BENDER M.D.

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 W END AVE UNIT 1RS
NEW YORK NY
10023-6103
US

IV. Provider business mailing address

142 W END AVE UNIT 1RS
NEW YORK NY
10023-6103
US

V. Phone/Fax

Practice location:
  • Phone: 888-603-0993
  • Fax:
Mailing address:
  • Phone: 888-603-0993
  • Fax: 646-962-0033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License Number250071
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number250071
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: