Provider Demographics
NPI:1821122508
Name:TENZER, JOANNE (MS, LAC)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:TENZER
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 W LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-3133
Mailing Address - Country:US
Mailing Address - Phone:914-673-3661
Mailing Address - Fax:
Practice Address - Street 1:1735 FRONT ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4605
Practice Address - Country:US
Practice Address - Phone:914-962-8349
Practice Address - Fax:914-962-2699
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002673171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist