MS. LISA TANNENBAUM, PA-C

Physician Assistant

Active Individual
NPI: 1114578507

Practice Address

100 GRANNY RD UNIT 2
Farmingville, NY 11738

Phone: (631) 696-4357

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 1164958 (NY)

Frequently Asked Questions

NPI 1114578507 is the National Provider Identifier for MS. LISA TANNENBAUM, PA-C, a Physician Assistant provider located in Farmingville, NY. This NPI was enumerated on September 26, 2019.
MS. LISA TANNENBAUM, PA-C practices at 100 GRANNY RD UNIT 2, Farmingville, NY 11738.

Quick Facts

NPI
1114578507
Type
Individual
Enumerated
Sep 26, 2019
Last Updated
Sep 26, 2019

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