Individual
DR. IVAN LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
20935 NORTHERN BLVD STE 209, BAYSIDE, NY 11361-3134
(718) 577-8933
(718) 354-8883
Mailing address
20810 CROSS ISLAND PKWY # 528, BAYSIDE, NY 11360-1187
(718) 577-8933
(718) 354-8883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012540
NY
111N00000X
Chiropractor
X012540-1
NY
Other
Enumeration date
07/17/2014
Last updated
08/20/2019
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