Victor Tenenbaum


Address: 430 W Broadway, New York, NY 10012-3784
Phone: 2122191184

Victor Tenenbaum (NPI# 1023185618, PAC ID# 9133394349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1023185618
PAC ID by PECOS 9133394349
Professional Enrollment ID I20111215000635
Full Name Victor Tenenbaum
Address 430 W Broadway
New York
NY 10012-3784
Phone Number 2122191184
Gender M
Medical School UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year 1981
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330233 BROOKDALE HOSPITAL MEDICAL CENTER
330214 NEW YORK UNIVERSITY LANGONE MEDICAL CENTER

Other Locations

Address Phone Organization
1995 Rockaway Pkwy, Brooklyn, NY 11236-5505 7182511661
430 W Broadway, New York, NY 10012-3784 2122191184

Organization Information

Office Location

Street Address 430 W BROADWAY
City NEW YORK
State NY
Zip 10012-3784

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Competitor

Search similar physicians

City NEW YORK
Zip Code 10012
Specialty FAMILY MEDICINE
City + Specialty NEW YORK + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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