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Contact Information

MARC R TANNENBAUM, MD
122 E 76TH ST
NEW YORK, NY10021-2833
 Phone: 212-434-2878
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MARC R TANNENBAUM · (Male)

NPI # 1235291592
Status Active
Credentials MD
Entity Individual
Enumeration date 12/14/2006
Last updated 04/30/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 183144-1
  • NY Medicaid 01630602
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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