Individual
DR. CYNTHIA TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
139 CENTRE ST STE 709, NEW YORK, NY 10013-4557
(212) 965-0496
(212) 965-0496
Mailing address
139 CENTRE ST, 709, NEW YORK, NY 10013-4552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
242686
NY
207R00000X
Internal Medicine Physician
OS013652
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02907093
—
NY
Enumeration date
11/28/2006
Last updated
02/27/2019
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