Lam, Irene
Lam, Irene is an individual health care provider with primary practice located at 226 Route 25A , East Setauket NY 11733-2853. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Lam, Irene can be contacted via phone (631) 751-2499.Contact Information
Primary practice address
226 Route 25A
East Setauket NY 11733-2853
Phone: (631) 751-2499
Fax: (631) 751-0642
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 047130 | New York |
Profile Details
NPI number | 1184803413 |
---|---|
LBN Legal business name | Lam, Irene |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2007 |
Last updated | Nov 2nd, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184803413 | NPPES |
New York | MEDICAID | 00275567 |
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