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Organization

BYUNG S. LIM , MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAIPO R (OFFICE MANAGER)
(315) 769-6081
Entity
Organization

Contact information

Practice address
14 HOSPITAL DR, MASSENA, NY 13662-1019
(315) 769-6081
Mailing address
PO BOX 606, MASSENA, NY 13662-0606
(315) 769-6081
(315) 769-1733

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
113567
NY
2086X0206X
Surgical Oncology Physician
113567
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206666
NY
Enumeration date
01/27/2012
Last updated
10/17/2012
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