Tenembaum, David

Tenembaum, David is an individual health care provider with primary practice located at 9001 Roosevelt Ave , Jackson Heights NY 11372-7938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Tenembaum, David can be contacted via phone (718) 396-2005.

Contact Information

Primary practice address
9001 Roosevelt Ave Jackson Heights NY 11372-7938
Phone: (718) 396-2005
Fax: (718) 396-2006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 265810 New York

Profile Details

NPI number 1043453962
LBN Legal business name Tenembaum, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2009
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043453962 NPPES
New York MEDICAID 03505039

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