Individual
ADA MANYING LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
3231 201ST ST, BAYSIDE, NY 11361-1015
(917) 667-2224
Mailing address
3231 201ST ST, BAYSIDE, NY 11361-1015
(917) 667-2224
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006986
NY
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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