Individual ProviderConnie Chung Kong TamInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4240 Bowne St Apt 1c, Flushing, NY 11355-2802(718) 939-1182PECOS EnrollmentBased on the most recent information from CMS, provider Connie Chung Kong Tam does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1891973194Provider TypeIndividualFull NameTam, Connie Chung KongTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date2/8/2008Last Updated6/20/2019Contact InformationPractice LocationPractice Address4240 Bowne St Apt 1c, Flushing, NY 11355-2802Phone(718) 939-1182Fax(718) 939-0563Mailing LocationMailing Address4240 Bowne St Apt 1c, Flushing, NY 11355-2802Phone(718) 939-1182Fax(718) 939-0563Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense172862New York