Provider Demographics
NPI:1952331266
Name:MARTIN BARANDES M D P C
Entity Type:Organization
Organization Name:MARTIN BARANDES M D P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARANDES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-249-0622
Mailing Address - Street 1:155 E 76TH ST OFC 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2810
Mailing Address - Country:US
Mailing Address - Phone:212-249-0622
Mailing Address - Fax:212-249-0217
Practice Address - Street 1:155 E 76TH ST OFC 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2810
Practice Address - Country:US
Practice Address - Phone:212-249-0622
Practice Address - Fax:212-249-0217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
No207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GADC6617Medicare PIN
NYWET111Medicare PIN