Provider Demographics
NPI:1558551416
Name:LAM, LESLIE SUIHANG (MD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:SUIHANG
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13203 SANFORD AVE APT 7L
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4308
Mailing Address - Country:US
Mailing Address - Phone:917-501-9840
Mailing Address - Fax:
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:718-920-5612
Practice Address - Fax:718-547-2881
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY228444281PC2000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No281PC2000XHospitalsChronic Disease HospitalChildren