Provider Demographics
NPI:1760487581
Name:LIM, HENRY HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:HOWARD
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 1:516 BELLMORE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4710
Mailing Address - Country:US
Mailing Address - Phone:516-489-8455
Mailing Address - Fax:516-489-8433
Practice Address - Street 1:516 BELLMORE AVE
Practice Address - Street 2:# A
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-4710
Practice Address - Country:US
Practice Address - Phone:516-489-8455
Practice Address - Fax:516-489-8433
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222299208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY49086POtherHIP
NYP2524064OtherOXFORD
NY1000027575OtherAFFINITY
NY2830229OtherAETNA HMO
NY00222299OtherMETROPLUS
NY1202592OtherUNITED HEALTHCARE HMO
NY124663OtherVYTRA
NY5205347002OtherCIGNA
NY02174289Medicaid
NY2150696OtherUNITED HEALTHCARE
NY2697885OtherGHI
NY7701334OtherAETNA
NY6B3421OtherEMPIRE BC/BS
NY2150696OtherUNITED HEALTHCARE