Tannenbaum, Alice Susan
Tannenbaum, Alice Susan is an sole proprietor health care provider with primary practice located at 1 Malcolm Ave , Teterboro NJ 07608-1011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Tannenbaum, Alice Susan can be contacted via phone (201) 393-5589.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 108607 | New York |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 25MA03879100 | New Jersey |
Profile Details
| NPI number | 1538316773 |
|---|---|
| LBN Legal business name | Tannenbaum, Alice Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2008 |
| Last updated | May 24th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538316773 | NPPES |
| New York | MEDICAID | 03181495 |
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