| Florence Tam, Psy.d., Pllc | |
|
201 Bryson Ave Staten Island NY 10314-1922 | |
| (646) 481-5386 | |
| (718) 370-2150 |
| Full Name | Florence Tam, Psy.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 201 Bryson Ave, Staten Island, New York |
| Authorized Official Name and Position | Florence Tam (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6464815386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florence Tam, Psy.d., Pllc 201 Bryson Ave Staten Island NY 10314-1922 Ph: (646) 481-5386 | Florence Tam, Psy.d., Pllc 201 Bryson Ave Staten Island NY 10314-1922 Ph: (646) 481-5386 |
| NPI Number | 1285929042 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 06/09/2011 |
| Medicare PECOS PAC ID | 0042498057 |
|---|---|
| Medicare Enrollment ID | O20110622000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285929042 | NPI | - | NPPES |
| 03048464 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 014047 (New York) | Primary |
| Provider Name | Florence Tam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528217379 PECOS PAC ID: 3173681152 Enrollment ID: I20081020000408 |
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