Individual
ANDREW BARIST-TANENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 W 90TH ST STE 1010, NEW YORK, NY 10024-1285
(929) 445-3306
Mailing address
1560 PELHAM PKWY S APT 1Q, BRONX, NY 10461-1139
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
095852
NY
1041C0700X
Clinical Social Worker
Primary
088358
NY
Other
Enumeration date
03/16/2017
Last updated
01/08/2020
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