Individual
DR. DAVID TENEMBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9001 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7938
(718) 396-2005
(718) 396-2006
Mailing address
9001 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7938
(718) 396-2005
(718) 396-2006
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
265810
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03505039
—
NY
Enumeration date
04/07/2009
Last updated
03/17/2018
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