Individual
MARISA LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 MADISON ST, MEDICAL STAFF OFFICE, ROOM 1249, NEW YORK, NY 10002-7537
(212) 238-7000
Mailing address
227 MADISON ST, NEW YORK, NY 10002-7537
(212) 238-7000
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
607177
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
307393
NY
Other
Enumeration date
11/19/2015
Last updated
11/20/2015
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