Individual
HYUN JU LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
428 NY-146, ALTAMONT, NY 12009-4409
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07654328
—
NY
Enumeration date
02/25/2022
Last updated
12/02/2025
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