Individual
VIRGEN LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6026 83RD PL, 2ND FLOOR, MIDDLE VILLAGE, NY 11379-5417
(845) 321-3925
Mailing address
6026 83RD PL, 2ND FLOOR, MIDDLE VILLAGE, NY 11379-5417
(845) 321-3925
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
008478-1
NY
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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