Individual
LINDA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
233 BROADWAY RM 640, NEW YORK, NY 10279-0707
(212) 513-7711
Mailing address
233 BROADWAY RM 640, NEW YORK, NY 10279-0707
(212) 513-7711
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307324-1
NY
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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