Individual
MS. ELAINE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1203 AVENUE J, BROOKLYN, NY 11230-3669
(718) 252-5800
Mailing address
8695 16TH AVE, BROOKLYN, NY 11214-4525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018331
NY
Other
Enumeration date
10/20/2014
Last updated
08/09/2021
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