Jordan M Tannenbaum in Oneonta - Pediatrics
Jordan M Tannenbaum - NPI 1922000116
Jordan M Tannenbaum is a Pediatrics in Oneonta, New York. Jordan M Tannenbaum practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jordan M Tannenbaum is 1922000116. The last update date is 2010-06-29.
Jordan M Tannenbaum's current location address is 1 Fox Care Dr, Oneonta, New York. You can contact this provider via phone number 6074325600 and fax number 6074315275. The mailing address for Jordan M Tannenbaum is 1 Fox Care Dr, Oneonta, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan M Tannenbaum |
|---|---|
| Address | 1 Fox Care Dr, Oneonta, New York |
| Phone Number | 6074325600 |
| Fax Number | 6074315275 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922000116 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2010-06-29 |
Provider Mailing Address Detail
| Address | 1 Fox Care Dr |
|---|---|
| City | Oneonta |
| State | New York (NY) |
| Post Code | 1382020860 |
| Phone Number | 6074325600 |
| Fax Number | 6074315275 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 149788 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 279098 | NY | -- | |
| 2892901 | NY | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Jordan M Tannenbaum by the Centers for Medicare & Medicaid Services (CMS)?
The Jordan M Tannenbaum has been assigned the NPI (National Provider Identifier) 1922000116. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jordan M Tannenbaum is physically located?
The Jordan M Tannenbaum is situated at the following address: 1 Fox Care Dr, Oneonta, NY 1382020860.
What is Jordan M Tannenbaum's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jordan M Tannenbaum's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Jordan M Tannenbaum receive the assignment of its 1922000116 from the Centers for Medicare & Medicaid Services?
The Jordan M Tannenbaum was issued its 1922000116 by the Centers for Medicare & Medicaid Services on 2005-06-01.
When was the Jordan M Tannenbaum's information last updated?
The Jordan M Tannenbaum's information was last updated on 2010-06-29.