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NPI Code Detail

MEDICARE: JODI TAM

MEDICARE:   JODI  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
1176B00000XMidwifeNY

General Provider Information

NPI Number : 1578491247
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI TAM
Provider Business Mailing Address
First Line : 150 E 85TH ST APT 3I
Second Line :
City : NEW YORK
State : NY
Zip : 10028-2301
Country : US
Telephone Number : 917-538-0912
Fax Number :
Provider Business Practice Location Address
First Line : 150 E 85TH ST APT 3I
Second Line :
City : NEW YORK
State : NY
Zip : 10028-2301
Country : US
Telephone Number : 917-538-0912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ JODI TAM ” Practice Location

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