MEDICARE: SHELDON M LINDENFELD DDS

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	1223P0300X	Periodontics	037028	NY

General Provider Information

NPI Number	:	1245334697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELDON M LINDENFELD DDS

Provider Business Mailing Address
First Line	:	4555 HENRY HUDSON PKWY
Second Line	:	#105
City	:	BRONX
State	:	NY
Zip	:	10471
Country	:	US
Telephone Number	:	718-796-2623
Fax Number	:	718-549-2750

Provider Business Practice Location Address
First Line	:	4555 HENRY HUDSON PKWY
Second Line	:	#105
City	:	BRONX
State	:	NY
Zip	:	10471
Country	:	US
Telephone Number	:	718-796-2623
Fax Number	:	718-549-2750

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	07/08/2007

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