Individual provider · Type 1 NPI
Gary Tannenbaum, MD
Vascular Surgery Physician · Bronxville, NY
NPI number
1811949670
Active
Practice location
1 Pondfield Rd Ste 202
Bronxville, NY 10708-3706
Fax (914) 965-2880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 160375 (NY) |
| Vascular Surgery Physician Primary | 2086S0129X | 160375 (NY) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1811949670
Gary Tannenbaum, MD's National Provider Identifier is 1811949670, issued on May 17, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Bronxville, NY. The record was last updated on Mar 27, 2024.