Individual
SUSHELA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MOTT ST RM 204, NEW YORK, NY 10013-5003
(212) 226-6002
Mailing address
2917 40TH AVE APT 705, LONG ISLAND CITY, NY 11101-2880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
910714
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383846
NY
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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