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Organization
KENNETH C. TAM, M.D., F.A.C.C., P.C.
Active
Organization
KENNETH C. TAM, M.D., F.A.C.C., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY DAI R.N. (OFFICE MANAGER)
(212) 233-8813
Entity
Organization
Contact information
Practice address
217 GRAND ST, 9TH FLOOR, NEW YORK, NY 10013-4286
(212) 233-8813
(212) 267-3303
Mailing address
217 GRAND ST, 9TH FLOOR, NEW YORK, NY 10013-4286
(212) 233-8813
(212) 267-3303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
173277
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01485625
—
NY
Enumeration date
05/31/2007
Last updated
08/22/2020
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