Individual
DR. ERICA ANNE TENNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
118 W 79TH ST, SUITE 1A, NEW YORK, NY 10024-6445
(212) 496-2328
Mailing address
118 W 79TH ST, SUITE 1A, NEW YORK, NY 10024-6445
(212) 496-2328
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019411-1
NY
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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