Tenenbaum, Diane Cantor

Tenenbaum, Diane Cantor is an individual health care provider with primary practice located at 1092 Madison Ave , Albany NY 12208-2248. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tenenbaum, Diane Cantor can be contacted via phone (518) 525-2445.

Contact Information

Primary practice address
1092 Madison Ave Albany NY 12208-2248
Phone: (518) 525-2445
Fax: (518) 475-7069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 228318 New York

Profile Details

NPI number 1962409409
LBN Legal business name Tenenbaum, Diane Cantor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 8th, 2013 - about 11 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 1962409409 NPPES
New York MEDICAID 02492322

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