Individual
DR. AMY BETH TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1644 DEER PARK AVE., PARK HILLS DENTAL CENTER, DEER PARK, NY 11729
(631) 586-7100
Mailing address
64 DIVISION AVE, SUITE 215C, LEVITTOWN, NY 11756
(516) 644-2218
(516) 644-2219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051766
NY
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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