Provider Demographics
NPI:1699785865
Name:NATHANIEL L TINDEL MD LLC
Entity type:Organization
Organization Name:NATHANIEL L TINDEL MD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:TINDEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-249-3840
Mailing Address - Street 1:425 E 79TH ST
Mailing Address - Street 2:1H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1037
Mailing Address - Country:US
Mailing Address - Phone:212-249-3840
Mailing Address - Fax:212-249-5686
Practice Address - Street 1:425 E 79TH ST
Practice Address - Street 2:1H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1037
Practice Address - Country:US
Practice Address - Phone:212-249-3840
Practice Address - Fax:212-249-5686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192147207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWKW801Medicare PIN