Dr Ida Tam, EDD, LMSW is a
Social Worker based in Staten Island, New York. Dr Ida Tam is licensed to practice in New York (license number 069984) and her current practice location is
715 Ocean Ter, Staten Island, New York. She can be reached at her office (for appointments etc.) via phone at
(917) 453-4061.
NPI number for Dr Ida Tam is 1225873284 and her current mailing address is 25 Rumson Rd, Staten Island, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225873284.
Healthcare Provider's Profile
| Full Name | Dr Ida Tam |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 715 Ocean Ter, Staten Island, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225873284
- Provider Enumeration Date: 07/01/2024
- Last Update Date: 07/01/2024
Medical Identifiers
Medical identifiers for Dr Ida Tam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225873284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | (New York) | Secondary |
| 104100000X | Social Worker | 069984 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ida Tam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ida Tam, EDD, LMSW
25 Rumson Rd,
Staten Island, NY 10314-5951
Ph: (917) 453-4061 | Dr Ida Tam, EDD, LMSW
715 Ocean Ter,
Staten Island, NY 10301-4542
Ph: (917) 453-4061 |
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