Organization
EAST COAST FAMILY HEALTH NP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIOK LIM NP (OWNER)
(347) 891-3076
Entity
Organization
Contact information
Practice address
6111 QUEENS BLVD, WOODSIDE, NY 11377-4965
(718) 205-0287
Mailing address
14616 25TH RD, FLUSHING, NY 11354-1422
(347) 891-3076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
06/09/2023
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