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Organization

QUEENS CARDIOVASCULAR PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIVIEN LIM M.D. (CARDIOLOGIST)
(646) 494-7281
Entity
Organization

Contact information

Practice address
4503 KISSENA BLVD, FLUSHING, NY 11355-3429
(646) 494-7281
(877) 249-6926
Mailing address
4503 KISSENA BLVD, FLUSHING, NY 11355-3429
(646) 494-7281
(877) 249-6926

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
235491
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02694879
NY
01
07123J
MEDICARE ID
NY
Enumeration date
03/12/2008
Last updated
04/03/2013
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