Individual
DR. MARK TANENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1648 E 14TH ST, BROOKLYN, NY 11229-1175
(718) 627-0585
(718) 228-4930
Mailing address
415 E 52ND ST, APT 7BC, NEW YORK, NY 10022-9033
(718) 627-0585
(718) 228-4930
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003136
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00540987
—
NY
Enumeration date
11/17/2005
Last updated
04/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us