Individual
BEVERLY LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 WATERS PL, BRONX, NY 10461-2720
(718) 920-2060
Mailing address
1250 WATERS PL, BRONX, NY 10461-2720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/14/2022
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