Individual
AMY TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
182 S MAIN ST, NEW CITY, NY 10956-3318
(845) 638-1212
Mailing address
PO BOX 1107, NEW CITY, NY 10956-8107
(845) 639-4952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37830
NY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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