Individual
DR. TIMOTHY GARY LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1610 UNION ST, SCHENECTADY, NY 12309-6113
(518) 370-3668
(518) 370-7162
Mailing address
1610 UNION ST, SCHENECTADY, NY 12309-6113
(518) 370-3668
(518) 370-7162
Taxonomy
Speciality
Code
Description
License number
State
213EP0504X
Public Medicine Podiatrist
N005232
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N005232
NY
213ES0131X
Foot Surgery Podiatrist
N005232
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01619667
—
NY
01
—
U59439
UPIN
NY
Enumeration date
10/16/2006
Last updated
02/22/2010
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