Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diane Goldberg Tanenbaum, MD

Individual provider Dermatology Physician · NPI 1821006818

Diane Goldberg Tanenbaum, MD is a Dermatology in New York, New York. Graduated from State University of New York Downstate Medical Center in 1964, 62 years ago. Licensed in New York.

Years since qualifying
62
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

16 E 79th St Ste 22
New York, NY 10075-0150
Phone: (212) 249-6122
Fax: (212) 249-7838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 095197 (NY)

Record details

NPI number1821006818
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESJuly 20, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1964 (62 years in practice)
Accepts Medicare assignment Not indicated

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