Provider Demographics
NPI:1518447457
Name:LIM, HEATHER BRIANNA (MPAS, PA-C)
Entity Type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:BRIANNA
Last Name:LIM
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Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:45 5TH AVE APT 3C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4321
Mailing Address - Country:US
Mailing Address - Phone:631-481-6486
Mailing Address - Fax:
Practice Address - Street 1:240 E 38TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2708
Practice Address - Country:US
Practice Address - Phone:631-481-6486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2022-07-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical