| David Tenembaum Md Pc | |
|
9001 Roosevelt Ave Ste 2a Jackson Heights NY 11372-7938 | |
| (718) 396-2005 | |
| (718) 396-2006 |
| Full Name | David Tenembaum Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9001 Roosevelt Ave Ste 2a, Jackson Heights, New York |
| Authorized Official Name and Position | David Tenembaum (PRESIDENT) |
| Authorized Official Contact | 5163171379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Tenembaum Md Pc 52 Lincoln Rd Scarsdale NY 10583-7246 Ph: (516) 317-1379 | David Tenembaum Md Pc 9001 Roosevelt Ave Ste 2a Jackson Heights NY 11372-7938 Ph: (718) 396-2005 |
| NPI Number | 1669124236 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 01/24/2022 |
| Medicare PECOS PAC ID | 2466847736 |
|---|---|
| Medicare Enrollment ID | O20220323001829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669124236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Miroslav R Radevic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275779894 PECOS PAC ID: 8628123759 Enrollment ID: I20110112000715 |
| Provider Name | David Tenembaum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043453962 PECOS PAC ID: 8820237936 Enrollment ID: I20180427002023 |
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