MEDICARE: DR. TODD B LINDEN MD PC

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	174400000X	Specialist	197119	NY
2	207R00000X	Internal Medicine Physician	197119	NY
3	207RG0100X	Gastroenterology Physician	197119	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467488460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD B LINDEN MD PC

Provider Business Mailing Address
First Line	:	594 BROADWAY
Second Line	:	SUITE 310
City	:	NEW YORK
State	:	NY
Zip	:	10012-3234
Country	:	US
Telephone Number	:	212-219-3210
Fax Number	:	212-966-5099

Provider Business Practice Location Address
First Line	:	594 BROADWAY
Second Line	:	SUITE 310
City	:	NEW YORK
State	:	NY
Zip	:	10012-3234
Country	:	US
Telephone Number	:	212-219-3210
Fax Number	:	212-966-5099

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

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	10/28/2009

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