Individual
LUIS LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7516 BAY PARKWAY, UNIT CF#3, BROOKLYN, NY 11214
(585) 421-7732
Mailing address
7516 BAY PARKWAY, UNIT CF#3, BROOKLYN, NY 11214
(585) 421-7732
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852916217
—
NY
Enumeration date
06/15/2021
Last updated
06/15/2021
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