Organization
LAN PHAM, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAN PHUONG VU PHAM M.D. (OPHTHALMOLOGIST)
(914) 484-1518
Entity
Organization
Contact information
Practice address
664 STONELEIGH AVE STE 204, CARMEL, NY 10512-3990
(914) 484-1518
Mailing address
PO BOX 293, MAHOPAC, NY 10541-0293
(914) 484-1518
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
207363
NY
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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