MEDICARE: DR. ANNA MARGARET BENDER-ZECKENDORF M.D.

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	207NP0225X	Pediatric Dermatology Physician	250071	NY
2	207N00000X	Dermatology Physician	250071	NY

General Provider Information

NPI Number	:	1932362472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA MARGARET BENDER-ZECKENDORF M.D.

Provider Business Mailing Address
First Line	:	142 W END AVE UNIT 1RS
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-6103
Country	:	US
Telephone Number	:	888-603-0993
Fax Number	:	646-962-0033

Provider Business Practice Location Address
First Line	:	142 W END AVE UNIT 1RS
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-6103
Country	:	US
Telephone Number	:	888-603-0993
Fax Number	:

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

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	05/21/2024

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