Individual
MRS. HYUN JIN LIM-SOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
290 CENTER RD, WEST SENECA, NY 14224-1945
(716) 674-2393
(716) 674-2460
Mailing address
290 CENTER RD, WEST SENECA, NY 14224-1945
(716) 674-2393
(716) 674-2460
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
169434
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010105101
UNIVERA
NY
01
—
00050424009
ALL BLUES PRODUCTS
—
01
—
0032484
GHI
—
05
—
01047185
—
NY
01
—
0809820
INDEPENDENT HEALTH
—
01
—
NY9434
EYE MED
—
Enumeration date
01/30/2006
Last updated
07/11/2024
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