Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 192147 | NY |
NPI | 1295749026 |
---|---|
Provider Name | Dr. Nathaniel L Tindel |
First Address | New York, NY 10075-1037 |
Second Address | New York, NY 10075-1037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 08/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G29514 | (02) | NY |