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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962409409 | NPPES |
| New York | MEDICAID | 02492322 |
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