Gary A Tannenbaum
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK


Address: 622 W 168th St, New York, NY 10032-3720
Phone: 2123059876

Gary A Tannenbaum (NPI# 1811949670, PAC ID# 8527022698) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.

Physician Overview

Nation Provider ID (NPI) 1811949670
PAC ID by PECOS 8527022698
Professional Enrollment ID I20041117001271
Full Name Gary A Tannenbaum
Organization Legal Name TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Address 622 W 168th St
New York
NY 10032-3720
Phone Number 2123059876
Gender M
Credential MD
Medical School COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year 1983
Primary Specialty VASCULAR SURGERY
Secondary Specialties GENERAL SURGERY
Group Practice PAC ID 8527972546
Number of Group Practice Members 1547
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330208 ST JOHN'S RIVERSIDE HOSPITAL
330101 NEW YORK-PRESBYTERIAN HOSPITAL
330267 NEW YORK-PRESBYTERIAN/HUDSON VALLEY HOSPITAL

Other Locations

Address Phone Organization
1978 Crompond Rd, Cortlandt Manor, NY 10567-4144 9142938700 THE WESTCHESTER MEDICAL PRACTICE PC
622 W 168th St, New York, NY 10032-3720 2123059876 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

Organization Information

Organization Legal Name TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Physicians 1691

Physicians with the same organization

Name Specialty Organization Address
Natasha Atkinson Nurse Practitioner Trustees of Columbia University In The City of New York 51 Audubon Ave, New York, NY 10032-2248
Perry Tiberio Hospitalist Trustees of Columbia University In The City of New York 177 Fort Washington Ave, New York, NY 10032-3733
Sandra E Alvarado Nurse Practitioner Trustees of Columbia University In The City of New York 630 W 168th St, Ph 10 105, New York, NY 10032-3725
Asif Ahmad Diagnostic Radiology Trustees of Columbia University In The City of New York 710 W 168th St, B41, New York, NY 10032-3726
Sarah E Freeman Obstetrics/gynecology Trustees of Columbia University In The City of New York 534 W 135th St, New York, NY 10031-8644
William G Greendyke Infectious Disease Trustees of Columbia University In The City of New York 180 Fort Washington Ave, New York, NY 10032-3722
Teja M Kapoor Rheumatology Trustees of Columbia University In The City of New York 161 Fort Washington Ave, New York, NY 10032-3729
Sun Young Genin Nurse Practitioner Trustees of Columbia University In The City of New York 626 Mclean Ave, Yonkers, NY 10705-4738
George A Cioffi Ophthalmology Trustees of Columbia University In The City of New York 51 W 51st St, Fl 3 Suite 360, New York, NY 10019-6113
Jacqueline Y Lonier Endocrinology Trustees of Columbia University In The City of New York 1150 Saint Nicholas Ave, New York, NY 10032-3822

Office Location

Street Address 622 W 168TH ST
City NEW YORK
State NY
Zip 10032-3720

Physicians in the same location

Name Specialty Organization Address
Pietro A Canetta Nephrology Trustees of Columbia University In The City of New York 622 W 168th St, New York, NY 10032-3720
Stephen M Lagana Pathology Trustees of Columbia University In The City of New York 622 W 168th St, New York, NY 10032-3720
Joseph Paul Alukal Urology Trustees of Columbia University In The City of New York 622 W 168th St, New York, NY 10032-3720
Calvin K Lee Nurse Practitioner Trustees of Columbia University In The City of New York 622 W 168th St, New York, NY 10032-3720
Francesca Montanari Medical Oncology Trustees of Columbia University In The City of New York 622 W 168th St, Ph 3 303, New York, NY 10032-3720
David Paolo Trofa Orthopedic Surgery Trustees of Columbia University In The City of New York 622 W 168th St, New York, NY 10032-3720
Stephen Reis Interventional Radiology Trustees of Columbia University In The City of New York 622 W 168th St, New York, NY 10032-3720
Di Coneybeare Emergency Medicine Trustees of Columbia University In The City of New York 622 W 168th St, New York, NY 10032-3720
Thomas Ryan Hickernell Orthopedic Surgery Trustees of Columbia University In The City of New York 622 W 168th St, New York, NY 10032-3720
Amanda Sara Brown Nurse Practitioner Trustees of Columbia University In The City of New York 622 W 168th St, New York, NY 10032-3720
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Physicians in the same zip code

Name Specialty Organization Address
Joshua Stillman Emergency Medicine Trustees of Columbia University In The City of New York 21 Audubon Ave, New York, NY 10032
Joyce S Kuo Emergency Medicine Trustees of Columbia University In The City of New York 21 Audubon Ave, New York, NY 10032
William C Turner Hospitalist Trustees of Columbia University In The City of New York 21 Audubon Ave, New York, NY 10032
Leslie Moroz Obstetrics/gynecology Trustees of Columbia University In The City of New York 21 Audubon Ave, New York, NY 10032
Claudette O Tiru Hospitalist Trustees of Columbia University In The City of New York 21 Audubon Ave, New York, NY 10032
Paul F Schmidt Emergency Medicine Trustees of Columbia University In The City of New York 21 Audubon Ave, New York, NY 10032
Craig A Spencer Emergency Medicine Trustees of Columbia University In The City of New York 21 Audubon Ave, New York, NY 10032
Athina Vassilakis Hospitalist Trustees of Columbia University In The City of New York 21 Audubon Ave, New York, NY 10032
Helen Ouyang Emergency Medicine Trustees of Columbia University In The City of New York 21 Audubon Ave, New York, NY 10032
Jose Ricardo Regalbuto Hospitalist Trustees of Columbia University In The City of New York 21 Audubon Ave, New York, NY 10032
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Competitor

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City NEW YORK
Zip Code 10032
Specialty VASCULAR SURGERY
City + Specialty NEW YORK + VASCULAR SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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