EDLIRA TAM

STONY BROOK, NY
NPI1265850093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NY  1265850093)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OH  1265850093)
Enumeration Date2014-03-29
Last Update Date2022-07-21
Business Address
EDLIRA TAM D.O.
101 NICOLLS RD
STONY BROOK, NY 11794-8160
Phone number: 631-444-3278
Mailing Address
EDLIRA TAM D.O.
101 NICOLLS RD
STONY BROOK, NY 11794-8160
Phone number: