DR. Michael Tanenbaum, O.D.

NPI #1376510503 in Northport, New York

Provider Information

NPI Number
1376510503
Entity Type
Individual
Name
DR. Michael Tanenbaum, O.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Mar 7, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
834 FORT SALONGA RD
ZIP Code
11768-3157
Phone
(631) 757-4440

Specialties & Taxonomy Codes

Specialty
Optometrist

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