Individual
ANDY TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 MOTT ST, NEW YORK, NY 10013-4862
(212) 285-0977
(212) 285-0994
Mailing address
23029 HORACE HARDING EXPY, BAYSIDE, NY 11364-2448
(718) 279-9241
(212) 285-0994
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040770
NY
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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