Individual
DR. BENJAMIN TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., FNP
Contact information
Practice address
496 SMITHTOWN BYP STE 200, SMITHTOWN, NY 11787-5011
(631) 361-5300
(631) 361-5301
Mailing address
307 PLYMOUTH ST, WEST HEMPSTEAD, NY 11552-2436
(516) 385-6408
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X011198
NY
363LF0000X
Family Nurse Practitioner
Primary
342001
NY
Other
Enumeration date
07/20/2006
Last updated
02/06/2018
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