Individual
FUNG LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 W 157TH ST, NEW YORK, NY 10032-7601
(212) 781-7979
(212) 781-7963
Mailing address
60 MADISON AVE, 5TH FLOOR, NEW YORK, NY 10010-1600
(212) 545-2400
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
582465
NY
363LA2200X
Adult Health Nurse Practitioner
306582
NY
363LF0000X
Family Nurse Practitioner
Primary
F340629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
10/23/2013
Last updated
10/27/2016
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