MS. Lisa Michelle Tannenbaum PA-C

  • NPI 1114578507
According to our database, the NPI number for MS. Lisa Michelle Tannenbaum PA-C is 1114578507 and activated since 4 years ago. MS. Lisa Michelle Tannenbaum PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 100 Granny Rd Unit 2, Farmingville, NY 11738. You can also contact MS. Lisa Michelle Tannenbaum PA-C via telephone number is (631) 696-4357. Provider NPI information was last updated on 09/26/2019.

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Overview of MS. Lisa Michelle Tannenbaum PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/26/2019
  • Last updated: 09/26/2019

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 1164958
  • License State: NY

Provider Mailing Address

  • Address: 8330 Kew Gardens Rd Apt 4k
    Kew Gardens, NY 11415
  • Phone: 410-910-0122
  • Fax:

Provider Practice Location

  • Address: 100 Granny Rd Unit 2
    Farmingville, NY 11738
  • Phone: 631-696-4357
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 1164958
  • License State: NY
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MS. Lisa Michelle Tannenbaum PA-C?
  • A: The npi number for MS. Lisa Michelle Tannenbaum PA-C is 1114578507.
  • Q: What are MS. Lisa Michelle Tannenbaum PA-C's specialties?
  • A: MS. Lisa Michelle Tannenbaum PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for MS. Lisa Michelle Tannenbaum PA-C?
  • A: The medical license number for MS. Lisa Michelle Tannenbaum PA-C is 1164958 and issued in NY in USA.
  • Q: Where is MS. Lisa Michelle Tannenbaum PA-C practice location?
  • A: MS. Lisa Michelle Tannenbaum PA-C is practicing at 100 Granny Rd Unit 2, Farmingville, NY 11738.
  • Q: How to contact MS. Lisa Michelle Tannenbaum PA-C?
  • A: You can contact MS. Lisa Michelle Tannenbaum PA-C via 631-696-4357.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
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Occupational Health
Sports Physician
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Physical Therapist
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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