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Individual

CHI LAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, RN, FNP-BC

Contact information

Practice address
9410 59TH AVE, ELMHURST, NY 11373-5157
(929) 276-7621
Mailing address
9410 59TH AVE, ELMHURST, NY 11373-5157
(929) 276-7621

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F34469101
NY

Other

Enumeration date
12/07/2019
Last updated
02/16/2021
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