Individual
ELYSE LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
425 W 59TH ST STE 4F, NEW YORK, NY 10019-8022
(212) 523-3340
Mailing address
425 W 59TH ST STE 4F, NEW YORK, NY 10019-8022
(212) 523-3340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1220351
GA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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