Individual
MINH TAM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2518 QUEENS PLZ S, LONG ISLAND CITY, NY 11101-4101
(646) 647-1261
Mailing address
12211 DORSETT RD, MARYLAND HEIGHTS, MO 63043-2407
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
04/03/2025
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