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

Individual provider Pediatrics Physician · NPI 1922000116

Dr. Jordan M Tannenbaum, MD is a Pediatrics Physician in Oneonta, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Fox Care Dr Ste 213
Oneonta, NY 13820-2086
Phone: (607) 432-5600
Fax: (607) 431-5275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 149788 (NY)

Record details

NPI number1922000116
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESJune 29, 2010

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