Tam, Edmund

Tam, Edmund is an individual health care provider with primary practice located at 2950 Horseblock Rd , Medford NY 11763-2525. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tam, Edmund can be contacted via phone (631) 286-9491.

Contact Information

Primary practice address
2950 Horseblock Rd Medford NY 11763-2525
Phone: (631) 286-9491
Fax: (631) 286-9224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 045706 New York

Profile Details

NPI number 1851571350
LBN Legal business name Tam, Edmund
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2007
Last updated Nov 13th, 2007 - about 18 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 1851571350 NPPES
New York MEDICAID 02277567

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