Individual
JIMMY U LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
365 BROADWAY, SUITE 4, AMITYVILLE, NY 11701-2716
(516) 520-0504
Mailing address
32 DOWNEY CT, HUNTINGTON, NY 11743-5160
(516) 520-0504
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11398
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00408833
—
NY
Enumeration date
06/05/2006
Last updated
06/25/2008
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