Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2007-02-05
- Last updated
- 2008-02-07
Specialties
Licenses
- License NY
- 017244
Location
- Practice location
- 165 JEFFERSON HTS
- City
- CATSKILL NY
- Postal code
- 124141247
- Phone
- 518-943-2441
Organization contact
- Name
- RICHARD TANNENBAUM
- Title
- OWNER
- Phone
- 5189432441
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.