Lisa Tannenbaum, PA-C

NPI 1114578507 · on the registry since 2019

Practice

Address: 100 Granny Rd Unit 2
Farmingville, NY 11738
Phone: (631) 696-4357
Organisation at this address: Cs Medical Associates, P.C.
City Medical Of Upper East Side, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 30

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York