33D0942289 CLIA NUMBER - KENNETH C TAM MD FACC PC

Laboratory Demographics

CLIA Number: 33D0942289

Facility Name: KENNETH C TAM MD FACC PC

Facility Address:
217 GRAND STREET 9TH FLOOR
NEW YORK, NY
ZIP 10013
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Facility Phone Number: 212 219-9919

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467482703

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	33D0942289
LAB Type	Physician Office
Facility Name	KENNETH C TAM MD FACC PC
Street	217 GRAND STREET 9TH FLOOR
City	NEW YORK
State	NY
ZIP	10013
Phone	212 219-9919
CertificateType	4
CertificateEffectiveDate	3/9/2024
CertificateExpirationDate	3/8/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024