Basic Information
Provider Information
NPI: 1992856702
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAMM
FirstName: STEVEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12 EAST 96TH STREET
Address2:  
City: NEW YORK
State: NY
PostalCode: 10028
CountryCode: US
TelephoneNumber: 2129881146
FaxNumber: 2126287467
Practice Location
Address1: 555 MADISON AVE FL 2
Address2:  
City: NEW YORK
State: NY
PostalCode: 100223418
CountryCode: US
TelephoneNumber: 6467542000
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/16/2007
LastUpdateDate: 04/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X124904NYY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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