Individual provider · Type 1 NPI
Robert Wallace Tenney
Vascular & Interventional Radiology Physician · Flushing, NY
NPI number
1104323955
Active
Practice location
5645 Main St
Flushing, NY 11355-5045
Mailing address
2319 Perot St
Philadelphia, PA 19130-2525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | 330788 (NY) |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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About NPI 1104323955
Robert Wallace Tenney's National Provider Identifier is 1104323955, issued on Apr 9, 2018. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Flushing, NY. The record was last updated on Oct 25, 2024.