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Idy W Tam, MD
Student in an Organized Health Care Education/Training Program in Port Jefferson, New York
NPI 1245816610

Idy W Tam is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. Idy W Tam practices in Port Jefferson, NY and has the professional credentials of MD. The NPI Number for Idy W Tam is 1245816610 and holds a License No. (New York).

The current practice location address for Idy W Tam is 75 N Country Rd, Port Jefferson, NY and can be reached out via phone at 631-686-2549.

Location: 75 N Country Rd, Port Jefferson, NY, 11777-2190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245816610
Provider Name
Idy W Tam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
75 N Country Rd, Port Jefferson, NY, 11777-2190
Phone Number
631-686-2549
Fax Number
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
75 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2119
Phone Number
631-686-2549
Fax Number
person
Provider Business Mailing Address Details
Address
75 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2119
Phone Number
631-686-2549
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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