Provider Demographics
NPI:1427710482
Name:TANDEM MEDICAL, P.C.
Entity type:Organization
Organization Name:TANDEM MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-296-1700
Mailing Address - Street 1:35 PINELAWN RD STE 112
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3121
Mailing Address - Country:US
Mailing Address - Phone:631-296-1700
Mailing Address - Fax:
Practice Address - Street 1:35 PINELAWN RD STE 112
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3121
Practice Address - Country:US
Practice Address - Phone:631-296-1700
Practice Address - Fax:631-393-6837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty