Individual
THOMAS LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
3002 39TH AVE APT B708, LONG ISLAND CITY, NY 11101-2831
(408) 393-7968
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/11/2020
Last updated
01/11/2020
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