Individual
DR. JEFFREY C TANENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(185) 837-7367
(718) 537-6180
Mailing address
2626 HALPERIN AVE, BRONX, NY 10461-2631
(718) 618-0401
(347) 479-1303
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006160
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
DP731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092830101
—
TX
Enumeration date
06/14/2006
Last updated
06/20/2025
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