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Dr. Justina Tam, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1073932521

Justina Tam is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Justina Tam practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Justina Tam is 1073932521 and holds a License No. FE61076599 (New York).

The current practice location address for Justina Tam is Stony Brook Urology, Stony Brook, NY and can be reached out via phone at 631-444-6270 and via fax at 631-444-7620.

Location: Stony Brook Urology, Stony Brook, NY, 11794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073932521
Provider Name
Justina Tam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Stony Brook Urology, Stony Brook, NY, 11794
Phone Number
631-444-6270
Fax Number
631-444-7620
Provider Enumeration Date
04/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Stony Brook Urology
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-6270
Fax Number
631-444-7620
person
Provider Business Mailing Address Details
Address
Stony Brook Urology
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-6270
Fax Number
631-444-7620
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
Female Pelvic Medicine and Reconstructive Surgery
Taxonomy
2088F0040X
License No.
318701 (New York)
Definition
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
FE61076599 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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