| Dr Jordan M Tannenbaum, MD | |
|
1 Fox Care Dr, Ste 213, Oneonta, NY 13820-2086 | |
| (607) 432-5600 | |
| (607) 431-5275 |
| Full Name | Dr Jordan M Tannenbaum |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1 Fox Care Dr, Oneonta, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922000116 | NPI | - | NPPES |
| 00279098 | Medicaid | NY | |
| 002892901 | Other | NY | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 149788 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan M Tannenbaum, MD 1 Fox Care Dr, Ste 213, Oneonta, NY 13820-2086 Ph: (607) 432-5600 | Dr Jordan M Tannenbaum, MD 1 Fox Care Dr, Ste 213, Oneonta, NY 13820-2086 Ph: (607) 432-5600 |
Abiodun Oyebola, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Norton Ave, Oneonta, NY 13820 Phone: 607-432-5600 | |
Kenneth G Lucas, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 179 River St, Oneonta, NY 13820 Phone: 607-433-3484 Fax: 607-432-5790 | |
Elizabeth Blasco, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Main St, Oneonta, NY 13820 Phone: 607-433-1792 Fax: 607-433-6519 | |
Dr. Bridget Abieyuwa Igbinosun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Main St, Oneonta, NY 13820 Phone: 607-433-1790 Fax: 607-433-6608 | |
Dr. Nicholas W Tarricone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 179 River St, Oneonta, NY 13820 Phone: 607-433-3484 Fax: 607-432-5790 | |
Dr. William J Fredette, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Norton Ave, Oneonta, NY 13820 Phone: 607-432-5600 | |
Dr. Lisa Koehl Mooney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Main St, Oneonta, NY 13820 Phone: 607-433-1792 Fax: 607-433-6608 |