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Contact Information

EDLIRA TAM, DO
101 NICOLLS RD
STONY BROOK, NY11794-8160
 Phone: 631-444-3278
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EDLIRA TAM · (Female)

NPI Number 1265850093
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/29/2014
Last updated 02/22/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 309804
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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