Individual
DR. GARY TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 PONDFIELD RD STE 202, BRONXVILLE, NY 10708-3706
(914) 965-2606
(914) 965-2880
Mailing address
1 PONDFIELD RD STE 202, BRONXVILLE, NY 10708-3706
(914) 965-2606
(914) 965-2880
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
160375
NY
2086S0129X
Vascular Surgery Physician
Primary
160375
NY
Other
Enumeration date
05/17/2006
Last updated
03/27/2024
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