Tam, Terrence

Tam, Terrence is an individual health care provider with primary practice located at 101 Hospital Rd , East Patchogue NY 11772-4870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Tam, Terrence can be contacted via phone (631) 475-7680.

Contact Information

Primary practice address
101 Hospital Rd East Patchogue NY 11772-4870
Fax: (631) 475-7683
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 223840 New York

Profile Details

NPI number 1063592079
LBN Legal business name Tam, Terrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063592079 NPPES
New York MEDICAID 02621483

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