Tanenbaum, Michael
Tanenbaum, Michael is an individual health care provider with primary practice located at 834 Fort Salonga Rd , Northport NY 11768-3157. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tanenbaum, Michael can be contacted via phone (631) 757-4440.Contact Information
Primary practice address
834 Fort Salonga Rd
Northport NY 11768-3157
Phone: (631) 757-4440
Fax: (631) 757-4593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV003407 | New York |
Profile Details
| NPI number | 1376510503 |
|---|---|
| LBN Legal business name | Tanenbaum, Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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