Individual
HAE LIM GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6860 AUSTIN ST STE 306, FOREST HILLS, NY 11375-4223
(718) 878-4099
Mailing address
14735 20TH AVE FL 2, WHITESTONE, NY 11357-3111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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