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Individual

MRS. CAROLINA C LIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
525 94TH ST, BROOKLYN, NY 11209-7008
(718) 836-5414
Mailing address
525 94TH ST, BROOKLYN, NY 11209-7008
(718) 836-5414

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
552253
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1246331101
OXFORD
NY
Enumeration date
02/01/2019
Last updated
02/01/2019
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