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1225873284
IDA TAM
STATEN ISLAND, NY
NPI
1225873284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 069984)
Additional Taxonomies
101YS0200X Counselor, School
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
Dr. IDA TAM Ed.D, LMSW
715 OCEAN TER
STATEN ISLAND, NY 10301-4542
Phone number: 917-453-4061
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Mailing Address
Dr. IDA TAM Ed.D, LMSW
25 RUMSON RD
STATEN ISLAND, NY 10314-5951
Phone number: 917-453-4061
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