Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP0504X | Public Medicine | 006189 | NY |
N | 213EP1101X | Primary Podiatric Medicine | 006189 | NY |
N | 111NR0200X | Radiology | 006189 | NY |
N | 213ER0200X | Radiology | 006189 | NY |
N | 2081S0010X | Sports Medicine | 006189 | NY |
N | 213ES0000X | Sports Medicine | 006189 | NY |
Y | 213ES0131X | Foot Surgery | 006189 | NY |
NPI | 1417034232 |
---|---|
Provider Name | Dr. Mindy E Lam |
First Address | Clifton Park, NY 12065-3818 |
Second Address | Clifton Park, NY 12065-3818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 14/01/2015 |