Provider Demographics
NPI:1619369113
Name:LIM, NEIL ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ROBERT
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:425 E 61ST ST FL 12
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8722
Mailing Address - Country:US
Mailing Address - Phone:646-962-2399
Mailing Address - Fax:646-962-0139
Practice Address - Street 1:425 E 61ST ST FL 12
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8722
Practice Address - Country:US
Practice Address - Phone:646-962-2399
Practice Address - Fax:646-962-0139
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-20
Last Update Date:2023-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY309568-01207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine