Individual
TIFFANY LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
139 CENTRE ST STE 512, NEW YORK, NY 10013-4555
(212) 431-6463
Mailing address
139 CENTRE ST STE 512, NEW YORK, NY 10013-4555
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
031463
NY
Other
Enumeration date
01/25/2024
Last updated
04/13/2026
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