Individual
MICHAEL K NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
Mailing address
3620 213TH ST APT 2B, BAYSIDE, NY 11361-2012
(917) 692-5869
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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