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Individual

STEVEN Y TENNENBAUM

Active
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Individual

STEVEN Y TENNENBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
165684
NY
208800000X
Urology Physician
165684
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01255898
—
NY
01
—
1000042
GHI
NY
01
—
2C1363
HEALTHNET
NY
01
—
4225633
AETNA/U.S.HEALTHCARE
NY
01
—
86F62
BLUE SHIELD
NY
01
—
GS333
OXFORD
NY
Enumeration date
07/25/2006
Last updated
03/09/2011
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