Provider Demographics
NPI:1760678312
Name:LAM MEDICAL ASSOCIATES,P.C.
Entity Type:Organization
Organization Name:LAM MEDICAL ASSOCIATES,P.C.
Other - Org Name:SERVICIOS MEDICOS HISPANOS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:MAILENG
Authorized Official - Last Name:LAMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-899-0470
Mailing Address - Street 1:9014 ELMHURST AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7936
Mailing Address - Country:US
Mailing Address - Phone:718-899-0470
Mailing Address - Fax:718-779-2864
Practice Address - Street 1:9014 ELMHURST AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7936
Practice Address - Country:US
Practice Address - Phone:718-899-0470
Practice Address - Fax:718-779-2864
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAM MEDICAL ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-18
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172909207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH37247Medicare UPIN
NYF32887Medicare UPIN
NYH12578Medicare UPIN
NYE62850Medicare UPIN
NY01311Medicare PIN
NYD04057Medicare UPIN
NYH48822Medicare UPIN
NYH35779Medicare UPIN
NYB19403Medicare UPIN
NY01311GMedicare PIN