Individual
JAKE ERN LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
260 E 188TH ST, BRONX, NY 10458-5302
(718) 220-2020
Mailing address
260 E 188TH ST, BRONX, NY 10458-5302
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
356332
NY
363L00000X
Nurse Practitioner
RN2372624
MA
Other
Enumeration date
01/31/2025
Last updated
06/26/2025
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