| NPI | 1568795789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A TANNENBAUM Surgeon 914-965-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 67696) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2013-07-30 |