Provider Demographics
NPI:1689895328
Name:LAMBERT, TAMI L (CPNP)
Entity Type:Individual
Prefix:MS
First Name:TAMI
Middle Name:L
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:530 HICKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-3415
Mailing Address - Country:US
Mailing Address - Phone:516-937-3511
Mailing Address - Fax:516-937-1011
Practice Address - Street 1:173 MINEOLA BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2528
Practice Address - Country:US
Practice Address - Phone:516-663-9494
Practice Address - Fax:516-663-2835
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2013-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY381798363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics