Individual
DR. JASON CHENG XI LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
275 MORICHES RD, SAINT JAMES, NY 11780-2150
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
322747
NY
208VP0014X
Interventional Pain Medicine Physician
322747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08040851
—
NY
Enumeration date
05/09/2018
Last updated
11/14/2025
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