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Organization

FLORENCE TAM, PSY.D., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FLORENCE TAM PSY.D. (CLINICAL PSYCHOLOGIST)
(646) 481-5386
Entity
Organization

Contact information

Practice address
201 BRYSON AVE, STATEN ISLAND, NY 10314-1922
(646) 481-5386
(718) 370-2150
Mailing address
201 BRYSON AVE, STATEN ISLAND, NY 10314-1922
(646) 481-5386
(718) 370-2150

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014047
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03048464
NY
Enumeration date
06/09/2011
Last updated
06/09/2011
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