Individual
MARYLLE PACINA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
560 1ST AVE FL 2, NEW YORK, NY 10016-6402
(646) 501-8900
Mailing address
560 FIRST AVENUE, ENERGY BUILDING, 2ND FLOOR, NEW YORK, NY 10016
(917) 334-8986
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F310408-01
NY
Other
Enumeration date
11/10/2021
Last updated
04/24/2023
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