Individual
JENNIFER TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(201) 661-0510
Mailing address
2315 44TH DR APT 2205, LONG ISLAND CITY, NY 11101-8929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F312052-01
NY
Other
Enumeration date
03/15/2025
Last updated
03/15/2025
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