DR. Ivan Tam, DPT

NPI #1104581248 in Nanuet, New York

Provider Information

NPI Number: 1104581248
Entity Type: Individual
Name: DR. Ivan Tam, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 3, 2021
Last Updated: Sep 26, 2025

Practice Location

Address: 412 MARKET ST
City: Nanuet
State: New York
ZIP Code: 10954-2744
Phone: (718) 552-7267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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