IDY W TAM

PORT JEFFERSON, NY
NPI1245816610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-24
Last Update Date2021-03-24
Business Address
IDY W TAM MD
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-686-2549
Mailing Address
IDY W TAM MD
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2190
Phone number:
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