Individual
HIMA B TAM TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-2892
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-2892
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MT179848
PA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
P59262
NY
Other
Enumeration date
05/20/2007
Last updated
10/10/2018
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