DR. BENJAMIN TANNENBAUM D.C. FNP NPI 1912927047

NPI Information

NPI: 1912927047
Provider Name: DR. BENJAMIN TANNENBAUM, D.C., FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
496 SMITHTOWN BYP STE 200
SMITHTOWN, NY
ZIP 11787
Phone: (631) 361-5300
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DR. Benjamin Tannenbaum, D.C., FNP is a family nurse practitioner in Smithtown, NY. DR. Benjamin Tannenbaum, D.C., FNP NPI is 1912927047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

496 SMITHTOWN BYP STE 200
SMITHTOWN, NY
ZIP 11787-011
Phone: (631) 361-5300
Fax: (631) 361-5301

The NPI 1912927047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 2/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		X011198	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	342001	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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