Individual
ALEXANDER B TENENBOYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Mailing address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
197718
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006183
GHI
—
01
—
000405121012
BLUE SHIELD NENY
—
05
—
01563299
—
NY
01
—
05034
MVP
—
01
—
070807000042
FIDELIS CARE NY
—
01
—
10002030
CDPHP
—
01
—
197718
NO FAULT
—
01
—
2406T1
EMPIRE BLUE CROSS
—
01
—
2406T2
EMPIRE BLUE CROSS
—
01
—
2406T3
EMPIRE BLUE CROSS
—
01
—
5301141
GHI
—
01
—
E76784
AMERICAN PROGRESSIVE TODA
—
01
—
RB4583
FIDELIS MEDICARE
—
Enumeration date
08/25/2006
Last updated
01/27/2011
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