Individual
MRS. JADE TIFFANY LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2435 JEROME AVE, BRONX, NY 10468-6464
(718) 220-7677
Mailing address
2435 JEROME AVE, BRONX, NY 10468-6464
(718) 220-7677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
670202
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
306563
NY
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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