Search › New York › 183500000X
Matthew Tennyson, PHARMD
NPI 1992583306 · on the registry since 2023 · sole proprietor
Practice
- Address
- 9553 Main St
Holland Patent, NY 13354 - Phone
- (315) 865-8141
- Organisation at this address
- Er Black Pharmacy Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-18
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