Organization
WESTCHESTER SURGICAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A TANNENBAUM M.D. (SURGEON)
(914) 965-2698
Entity
Organization
Contact information
Practice address
984 N BROADWAY, SUITE 501, YONKERS, NY 10701-1318
(914) 965-2606
(914) 965-2880
Mailing address
984 N BROADWAY, SUITE 501, YONKERS, NY 10701-1318
(914) 965-2606
(914) 965-2880
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
67696
NY
Other
Enumeration date
09/08/2009
Last updated
07/30/2013
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