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NPI Code Detail

MEDICARE: AMI LAM

MEDICARE:   AMI  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
1363LF0000XFamily Nurse Practitioner33-339184NY

General Provider Information

NPI Number : 1558759670
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMI LAM
Provider Business Mailing Address
First Line : 743 58TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3916
Country : US
Telephone Number : 718-765-0088
Fax Number :
Provider Business Practice Location Address
First Line : 743 58TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3916
Country : US
Telephone Number : 718-765-0088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2014
Last Update Date : 12/23/2014

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Directions to “ AMI LAM ” Practice Location

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