Individual
ANGIE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2707
Mailing address
321 126TH ST, COLLEGE POINT, NY 11356-1229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
339537
NY
Other
Enumeration date
04/13/2015
Last updated
06/19/2023
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