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Contact Information

JARED TANNENBAUM, MD
150 RIVERSIDE DR
NEW YORK, NY10024-2298
 Phone: 646-505-3500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JARED TANNENBAUM · (Male)

NPI # 1104288117
Status Active
Credentials MD
Entity Individual
Enumeration date 03/28/2016
Last updated 07/28/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 304733
Hospital affiliation(s) Not Available
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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