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1376510503
MICHAEL TANENBAUM
NORTHPORT, NY
NPI
1376510503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NY TUV003407)
Enumeration Date
2006-03-07
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL TANENBAUM O.D.
834 FORT SALONGA RD
NORTHPORT, NY 11768-3157
Phone number: 631-757-4440
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Mailing Address
Dr. MICHAEL TANENBAUM O.D.
834 FORT SALONGA RD
NORTHPORT, NY 11768-3157
Phone number: 631-757-4440
Copy
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