DEREK TAM

FLUSHING, NY
NPI1568865665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  018003)
Enumeration Date2014-10-02
Last Update Date2014-10-02
Business Address
-- DEREK TAM
14202 58TH RD
FLUSHING, NY 11355-5309
Phone number: 646-283-9356
Mailing Address
-- DEREK TAM
14202 58TH RD
FLUSHING, NY 11355-5309
Phone number: 646-283-9356
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