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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JORDAN M TANNENBAUM, M.D.

Active

DR. JORDAN M TANNENBAUM, M.D. is a Pediatrics healthcare provider located in ONEONTA, New York. NPI 1922000116 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · ONEONTA, NY

Registration Details

NPI Number
1922000116
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2005 (21.250466511757 yrs)
Last Updated
Jun 29, 2010
License
149788 (NY)

Practice Information

Address
1 FOX CARE DR
STE 213
ONEONTA, NY, 138202086
Browse NY providers · Browse ZIP 13820
Phone
6074325600
Fax
6074315275
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in ONEONTA, NY

Name Credential NPI
DR. NICHOLAS W TARRICONE M.D. 1548265747
MEW KWAN CHAN-HOUSE MD 1710941778
DR. LISA KOEHL MOONEY M.D. 1619933058
DR. MONICA BRANE M.D. 1770549255
DR. DOUGLAS H CANNON M.D. 1912965039
KENNETH G LUCAS MD 1093762098
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.