MEDICARE: KIN LAM MD

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
1	207RH0003X	Hematology & Oncology Physician	174755	NY
2	207R00000X	Internal Medicine Physician	174755-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962442699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIN LAM MD

Provider Business Mailing Address
First Line	:	110 LAFAYETTE ST STE 601
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-4116
Country	:	US
Telephone Number	:	516-626-0177
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 LAFAYETTE ST STE 601
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-4116
Country	:	US
Telephone Number	:	516-626-0177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	09/25/2020

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Directions to “ KIN LAM MD” Practice Location

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