Individual
ALYSSA LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4983
Mailing address
174 HOWARD AVE, ORANGEBURG, NY 10962-2315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045268
NY
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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