Provider Demographics
NPI:1245805142
Name:LIM, CHEE YAO (MD)
Entity Type:Individual
Prefix:MR
First Name:CHEE YAO
Middle Name:
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 E 149 ST BRONX
Mailing Address - Street 2:8-30
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10451
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:234 E. 149TH ST BRONX
Practice Address - Street 2:8-30
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-5000
Practice Address - Fax:718-579-4836
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2023-03-16
Deactivation Date:2022-10-11
Deactivation Code:
Reactivation Date:2022-10-13
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program