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Ms. Lisa Michelle Tannenbaum, PA-C
Physician Assistant in Farmingville, New York
NPI 1114578507

Lisa Michelle Tannenbaum is a Physician Assistant based in Kew Gardens, NY. Lisa Michelle Tannenbaum practices in Farmingville, NY and has the professional credentials of PA-C. The NPI Number for Lisa Michelle Tannenbaum is 1114578507 and holds a License No. 1164958 (New York).

The current practice location address for Lisa Michelle Tannenbaum is 100 Granny Rd Unit 2, Farmingville, NY and can be reached out via phone at 631-696-4357.

Location: 100 Granny Rd Unit 2, Farmingville, NY, 11415-1923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114578507
Provider Name
Lisa Michelle Tannenbaum
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
100 Granny Rd Unit 2, Farmingville, NY, 11415-1923
Phone Number
631-696-4357
Fax Number
Provider Enumeration Date
09/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Granny Rd Unit 2
City
Farmingville
State
New York
Zip
11738-2879
Phone Number
631-696-4357
Fax Number
person
Provider Business Mailing Address Details
Address
100 Granny Rd Unit 2
City
Farmingville
State
New York
Zip
11738-2879
Phone Number
631-696-4357
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1164958 (New York)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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