Individual
MS. KIM TUYEN BUI LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12 CORNELL DR, GREAT NECK, NY 11020-1125
(917) 412-4965
Mailing address
12 CORNELL DR, GREAT NECK, NY 11020-1125
(917) 412-4965
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
304637
NY
Other
Enumeration date
04/04/2016
Last updated
08/11/2023
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