MEDICARE: NATHANIEL L TINDEL MD LLC

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	207X00000X	Orthopaedic Surgery Physician	192147	NY

General Provider Information

NPI Number	:	1699785865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATHANIEL L TINDEL MD LLC

Provider Business Mailing Address
First Line	:	425 E 79TH ST
Second Line	:	1H
City	:	NEW YORK
State	:	NY
Zip	:	10075-1037
Country	:	US
Telephone Number	:	212-249-3840
Fax Number	:	212-249-5686

Provider Business Practice Location Address
First Line	:	425 E 79TH ST
Second Line	:	1H
City	:	NEW YORK
State	:	NY
Zip	:	10075-1037
Country	:	US
Telephone Number	:	212-249-3840
Fax Number	:	212-249-5686

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	DR. NATHANIEL L TINDEL
Credential	:	MD
Telephone Number	:	212-249-3840

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/08/2009

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