Provider Demographics
NPI:1164814950
Name:TAM, SZE TING
Entity Type:Individual
Prefix:MS
First Name:SZE TING
Middle Name:
Last Name:TAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9825 HORACE HARDING EXPY
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-4627
Mailing Address - Country:US
Mailing Address - Phone:718-962-0888
Mailing Address - Fax:718-271-0722
Practice Address - Street 1:9825 HORACE HARDING EXPY
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-4627
Practice Address - Country:US
Practice Address - Phone:718-962-0888
Practice Address - Fax:718-271-0722
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program