# STEVEN Y TENNENBAUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124041827
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | 165684 | NY | Yes |
| 208800000X | Urology Physician | 165684 | NY | — |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 03/09/2011

## 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 |