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:
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Health care specialties

SpecialtyCodeLicense #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 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184803413 NPPES
New York MEDICAID 00275567

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