Individual
DR. JONATHAN LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
303 5TH AVE RM 610, NEW YORK, NY 10016-6620
(201) 972-6276
Mailing address
260 CHURCH ST APT 5B4, WHITE PLAINS, NY 10603-3535
(917) 846-8663
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022071-1
NY
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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