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NPI Code Detail

MEDICARE: FIONA LAM PA-C

MEDICARE: FIONA LAM PA-C
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
1363A00000XPhysician Assistant035053NY

General Provider Information

NPI Number : 1821955055
Entity Type Code : Individual
Provider Name (Legal Business Name) : FIONA LAM PA-C
Provider Business Mailing Address
First Line : 22 SPRING ST APT 16
Second Line :
City : NEW YORK
State : NY
Zip : 10012-4155
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4802 10TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2916
Country : US
Telephone Number : 718-283-3012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/20/2026

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Directions to “ FIONA LAM PA-C” Practice Location

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