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NPI Code Detail

MEDICARE: MS. NGA PING LAM

MEDICARE:  MS. NGA PING  LAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist1117681171NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11117681171OTHERNYTEACHER

General Provider Information

NPI Number : 1275191124
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NGA PING LAM
Provider Business Mailing Address
First Line : 311 GREAT KILLS RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10308-3261
Country : US
Telephone Number : 917-562-3363
Fax Number :
Provider Business Practice Location Address
First Line : 311 GREAT KILLS RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10308-3261
Country : US
Telephone Number : 917-562-3363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2019
Last Update Date : 06/04/2019

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Directions to “ MS. NGA PING LAM ” Practice Location

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