GRAND CORNELL CARDIOLOGY PC
Medical Practice at Grand St, New York, NY

License number
New York 173277
Category
Medical Practice
Type
Specialist
Owner
Name: DR. KENNETH C. TAM M.D., F.A.C.C
Title: PRESIDENT
Phone: (212) 233-8813
Address
Address
217 Grand St FL 9, New York, NY 10013
National Provider ID: 1043483274
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GRAND CORNELL CARDIOLOGY, PC

New York, NY

Industry:
Medical Doctor's Office
Registration:
Dec 13, 2007
Addresses:
217 Grand St 9, New York, NY 10013 (Physical)
217 Grand St 9 Flr, New York, NY 10013 (Physical)
217 Grand St, New York, NY 10013
State ID:
3604915
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Office Managers:
Kenneth C Tam Md, 217 Grand St 9 Flr, New York, NY 10013 (Physical),Kenneth C. Tam (Medical Doctor, President, Principal),Lucy Dai (Office Manager)

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