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Individual

MICHAEL S TENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
95 GRASSLANDS ROAD, UNIVERSITY IMAGING AND MEDICAL ASSOCIATION, PC, VALHALLA, NY 10595
(914) 493-8158
Mailing address
95 GRASSLANDS ROAD, UNIVERSITY IMAGING AND MEDICAL ASSOCIATION, PC, VALHALLA, NY 10595
(914) 493-8158

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
097108
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00163153
NY
Enumeration date
06/28/2006
Last updated
05/21/2008
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