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Organization

LAM QUAN, M.D., P.C.

Active
Other names
Quantum Medical
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAM CU QUAN M.D. (PRESIDENT)
(917) 670-3530
Entity
Organization

Contact information

Practice address
1302 GRAND AVE, NORTH BALDWIN, NY 11510-1418
(516) 223-7533
(516) 223-7534
Mailing address
27 SUNNYSIDE BLVD, PLAINVIEW, NY 11803-1510
(917) 670-3530
(516) 576-0691

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
A241419
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02892455
NY
Enumeration date
08/06/2011
Last updated
07/07/2012
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