| Marc R Tannenbaum, MD | |
|
122 E 76th St, New York, NY 10021-2833 | |
| (212) 434-2878 | |
| Not Available |
| Full Name | Marc R Tannenbaum |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 122 E 76th St, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235291592 | NPI | - | NPPES |
| 01630602 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 183144-1 (New York) | Primary |
| Entity Name | Physicians Of University Hospital Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417901323 PECOS PAC ID: 5890877542 Enrollment ID: O20080204000002 |
| Entity Name | North Shore - Lij Anesthesiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc R Tannenbaum, MD Po Box 26642, New York, NY 10087-6642 Ph: (201) 804-2800 | Marc R Tannenbaum, MD 122 E 76th St, New York, NY 10021-2833 Ph: (212) 434-2878 |
Dr. Jason H Epstein, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 423 E 23rd St, New York, NY 10010 Phone: 212-686-7500 | |
Dr. Aisha Baqai, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 E 68th St # M-312, New York, NY 10065 Phone: 212-746-2941 Fax: 212-746-8713 | |
Dr. Donna Bracken, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 506 Malcolm X Blvd, New York, NY 10037 Phone: 212-939-1000 | |
Michael Newman Singleton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 535 E 70th St, New York, NY 10021 Phone: 212-606-1036 | |
Nicholas Van Cott Johnson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, Nyu Langone Medical Center, New York, NY 10016 Phone: 212-263-5506 | |
Dr. Abimbola Adegbola, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 609-680-6333 | |
Dr. Thor Lidasan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 462 1st Ave # A-560, New York, NY 10016 Phone: 212-562-2300 Fax: 212-562-3486 |