SearchNew York1041C0700X

Andrew Barist-Tanenbaum

NPI 1790226298 · on the registry since 2017 · sole proprietor

Practice

Address
111 W 90th St Ste 1010
New York, NY 10024
Phone
(929) 445-3306
Clinicians at this address
2

Additional practice sites

  • 1560 Pelham Pkwy S Apt 1q, Bronx, NY

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-08

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