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1093800310
SIMOND SIUKI TAM
BRONX, NY
NPI
1093800310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 003161-1)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Mr. SIMOND SIUKI TAM N/A
130 W KINGSBRIDGE RD
BRONX, NY 10468-3904
Phone number: 718-584-9000
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Mailing Address
Mr. SIMOND SIUKI TAM N/A
72 SHAWNEE AVE APT 2
YONKERS, NY 10710-5155
Phone number: 914-420-9384
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