Tam, Ida

Tam, Ida is an individual health care provider with primary practice located at 715 Ocean Ter , Staten Island NY 10301-4542. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Tam, Ida can be contacted via phone (917) 453-4061.

Contact Information

Primary practice address
715 Ocean Ter Staten Island NY 10301-4542
Phone: (917) 453-4061
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 069984 New York

Profile Details

NPI number 1225873284
LBN Legal business name Tam, Ida
Credentials ED.D, LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2024
Last updated Jul 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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