Provider Demographics
NPI:1295749026
Name:TINDEL, NATHANIEL L (MD)
Entity type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:L
Last Name:TINDEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:425 E 79TH ST
Mailing Address - Street 2:SUITE 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:SUITE 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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2009-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY192147207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY446032Medicare PIN
NYG29514Medicare UPIN
NY446031Medicare PIN