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1194482851
FONG LAM
BROOKLYN, NY
NPI
1194482851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 348643)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
FONG LAM
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 917-669-4905
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Mailing Address
FONG LAM
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 917-669-4905
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