Individual
LAUREN TANNENBAUM ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1621 EASTCHESTER RD, BRONX, NY 10461-2604
(718) 405-8090
(718) 405-8091
Mailing address
1525 BLONDELL AVE STE 102, BRONX, NY 10461-2601
(718) 405-8090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
291272
NY
Other
Enumeration date
03/25/2016
Last updated
11/13/2019
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