ILENE TANNENBAUM (NPI# 1467678763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467678763 |
| Entity Type | Individual |
| Full Name | ILENE TANNENBAUM |
| Credential | NP |
| Practice Address |
2900 Bedford Ave 114 Roosevelt Brooklyn NY 11210-2850 |
| Mailing Address |
723 E 18th St Brooklyn NY 11230-1802 |
| Practice Telephone | 7189515580 |
| Practice Fax Number | 7189515869 |
| Mailing Telephone | 7188599269 |
| Mailing Fax Number | 7189515869 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F420087 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2900 BEDFORD AVE 114 ROOSEVELT |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11210-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053493437 | Brooklyn College Speech and Hearing Center | Audiologist | 2900 Bedford Ave, 4400 Boylan Hall, Brooklyn, NY 11210-2850 | 2006-10-19 |
| 1437408432 | Desiree V Gallardo | Speech-Language Pathologist | 2900 Bedford Ave, Brooklyn, NY 11210-2850 | 2012-09-05 |
| 1841548542 | Liana Aronov | Specialist | 2900 Bedford Ave, Brooklyn, NY 11210-2850 | 2012-08-28 |
| 1164732277 | Brooklyn College Speech and Hearing Center | Audiologist-Hearing Aid Fitter | 2900 Bedford Ave, Room 4400 Boylan Hall, Brooklyn, NY 11210-2850 | 2010-10-08 |
| 1518275429 | Lucille T Nielsen-rosander | Speech-Language Pathologist | 2900 Bedford Ave, Room 4400b, Brooklyn, NY 11210-2850 | 2010-09-14 |
| 1043465891 | Wendy G Bamman | Internal Medicine | 2900 Bedford Ave, Brooklyn, NY 11210-2850 | 2008-11-20 |
| 1215182159 | Barbara Bennett | Speech-Language Pathologist | 2900 Bedford Ave, Room #4400 Boylan Hall, Brooklyn, NY 11210-2850 | 2008-11-19 |
| 1922250620 | Natalie Schaeffer | Speech-Language Pathologist | 2900 Bedford Ave, Brooklyn, NY 11210-2850 | 2008-10-14 |
| 1912158163 | Susan Bohne | Speech-Language Pathologist | 2900 Bedford Ave, 4400 Boylan Hall, Brooklyn, NY 11210-2850 | 2008-10-07 |
| 1952552390 | Rochelle Cherry | Audiologist | 2900 Bedford Ave, Room 4400 Boylan Hall Brooklyn College Speech, Brooklyn, NY 11210-2850 | 2008-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1346859501 | Karece Lopez | Speech-Language Pathologist | 2665 Bedford Avenue, 2c, Brooklyn, NY 11210 | 2020-07-23 |
| 1164049078 | Christopher Rose Community Empowerment Campaign | Voluntary or Charitable | 1404 Brooklyn Ave, Brooklyn, NY 11210 | 2020-06-26 |
| 1487296455 | Venture Kids Inc | Day Training, Developmentally Disabled Services | 1731 Flatbush Ave, Brooklyn, NY 11210 | 2019-10-11 |
| 1689131773 | Florence Nkiruka Okafor | Case Manager/Care Coordinator | 858 E 29th St., Brooklyn Ny 11210, Brooklyn, NY 11210 | 2019-02-25 |
| 1508339854 | Sharon Senior-anderson | Behavioral Analyst | 858 E. 29th St., Brooklyn, NY 11210 | 2019-01-09 |
| 1952874208 | Luz Liriano | Behavioral Analyst | 858 E. 29th Street, Brooklyn, Ny 11210, Brooklyn, NY 11210 | 2019-01-09 |
| 1073086492 | Sharon L Bradley | Behavioral Analyst | 853 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1922571348 | Anderson J Ali | Counselor | 859 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1720553266 | Live Life Rehab Services LLC | Occupational Therapist | 3101 Ave I, Apt 1c, Brooklyn, NY 11210 | 2018-10-11 |
| Find all providers in zip 11210 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464918 | Elena Carianna | Nurse Practitioner | 469 Clinton Ave Apt 1, Brooklyn, NY 11238-1732 | 2020-10-16 |
| 1265081525 | Rebeka Racz | Nurse Practitioner | 901 Washington Ave Apt 2m, Brooklyn, NY 11225-1046 | 2019-09-10 |
| 1346898137 | Falla Lawrence Polycarpe | Nurse Practitioner | 1457 E 93rd St, Brooklyn, NY 11236-5042 | 2019-08-27 |
| 1104390970 | Michaelle N Alexandre | Nurse Practitioner | 969 E 80th St, Brooklyn, NY 11236-3809 | 2019-01-15 |
| 1336616093 | Elizabeth Sheridan Tobin | Nurse Practitioner | 295 Flatbush Avenue Ext Fl 3, Brooklyn, NY 11201-3001 | 2018-10-30 |
| 1760980817 | Hadiatou Barry | Nurse Practitioner | 1502 E 14th St Ste 2, Brooklyn, NY 11230-7148 | 2018-01-23 |
| 1265945513 | Sherry Ann Reid | Nurse Practitioner | 1194 E 34th St, Brooklyn, NY 11210-4139 | 2017-11-08 |
| 1972022291 | Kristine Arutyunova | Nurse Practitioner | 2829 Ocean Pkwy Ste C, Brooklyn, NY 11235-7869 | 2017-09-18 |
| 1306389960 | Dinah Kristine Cheong Geonzon | Nurse Practitioner | 2130 Ford St, 1st Flr, Brooklyn, NY 11229-5140 | 2016-11-29 |
| 1427500172 | Courtney Eva Mclean | Nurse Practitioner | 220 Saint Nicholas Ave, Brooklyn, NY 11237-4807 | 2016-10-28 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.