Individual
DIANE CANTOR TENENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1092 MADISON AVE, ALBANY, NY 12208-2248
(518) 525-2445
(518) 475-7069
Mailing address
1092 MADISON AVE, ALBANY, NY 12208-2248
(518) 525-2445
(518) 475-7069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
228318
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02492322
—
NY
Enumeration date
06/30/2005
Last updated
08/08/2013
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