Individual
ERIC TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 HARRISON AVE APT 4H, MINEOLA, NY 11501-3964
(646) 339-9262
Mailing address
341 E 78TH ST, NEW YORK, NY 10075-1314
(646) 339-9262
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1932629201
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W229525960
AETNA
NY
Enumeration date
06/27/2017
Last updated
10/19/2025
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