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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Vascular & Interventional Radiology Physician Primary 2085R0204X330788 (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.