Most Relevant Information
Provider Data
| NPI Number: | 1003067315 |
| Provider Name: | ELIZABETH NICOLE TANNENBAUM LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 072906-1 |
Most Important Dates
| Enumeration Date: | 10/06/2008 |
| Last Updated: | 10/06/2008 |
Provider Practice Location
197 E BROADWAY
NEW YORK
NY
100025507
Practice Location Phone/Fax
| Phone: | 2125333570 |
| Fax: | 6466029369 |
Provider Mailing Location
353 SMITH ST
APT 2
BROOKLYN
NY
112314605
Provider Mailing Phone/Fax
| Phone: | 9176798005 |
| Fax: | 6466029369 |