Tennenbaum, Steven Y

Tennenbaum, Steven Y is an sole proprietor health care provider with primary practice located at 699 Teaneck Rd Room 103, Teaneck NJ 07666-4244. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Tennenbaum, Steven Y can be contacted via phone (201) 692-9550.

Contact Information

Primary practice address
699 Teaneck Rd Room 103 Teaneck NJ 07666-4244
Phone: (201) 692-9550
Fax: (201) 692-1363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 165684 New York
Allopathic & Osteopathic Physicians / Urology 208800000X 165684 New York

Profile Details

NPI number 1124041827
LBN Legal business name Tennenbaum, Steven Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Mar 9th, 2011 - about 14 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 1124041827 NPPES
New York MEDICAID 01255898
New York Other 86F62
New York Other GS333
New York Other 1000042
New York Other 2C1363
New York Other 4225633

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