Shannon Tam

NPI 1700893120 - Midwife - 176B00000X

NPI Details
NPI 1700893120
Gender Female
Enumeration Date 08/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
110 W 97TH ST
NEW YORK NY, 10025-6450, US
Phone (212) 316-7923
Fax (212) 316-7945
Business Location
110 W 97TH ST
NEW YORK NY, 10025-6450, US
Phone (212) 316-7923
Fax (212) 316-7945
Toxanomy
Taxonomy Code 176B00000X
License State New York
License Number 532753-1
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According to our database, Shannon Tam NPI is 1700893120, taxonomy code is 176B00000X and license number is 532753-1, license state is located at New York. Shannon Tam physically located at 110 W 97th St, New York NY, 10025-6450. NPI Number Shannon Tam has the Individual type.

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1700893120 NPI number is provided on an as is basis without warranty of any kind. 1700893120 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Tam are for informational purposes only.