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NPI Code Detail

MEDICARE: ARIENE TAM

MEDICARE: ARIENE TAM
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
1183500000XPharmacist066595NY

General Provider Information

NPI Number : 1265057400
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIENE TAM
Provider Business Mailing Address
First Line : 124 E JERICHO TPKE
Second Line :
City : HUNTINGTON STATION
State : NY
Zip : 11746-7324
Country : US
Telephone Number : 631-760-3272
Fax Number :
Provider Business Practice Location Address
First Line : 124 E JERICHO TPKE
Second Line :
City : HUNTINGTON STATION
State : NY
Zip : 11746-7324
Country : US
Telephone Number : 631-760-3272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2020
Last Update Date : 06/13/2020

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Directions to “ ARIENE TAM ” Practice Location

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