Provider Demographics
NPI:1851372429
Name:LIM, SABINA (MD)
Entity Type:Individual
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First Name:SABINA
Middle Name:
Last Name:LIM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:184 LIBERTY ST
Mailing Address - Street 2:LV-117
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1625
Mailing Address - Country:US
Mailing Address - Phone:203-688-2619
Mailing Address - Fax:203-737-2221
Practice Address - Street 1:184 LIBERTY ST
Practice Address - Street 2:LV-117
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1625
Practice Address - Country:US
Practice Address - Phone:203-688-2619
Practice Address - Fax:203-737-2221
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2011-03-11
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Provider Licenses
StateLicense IDTaxonomies
CT0417052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
I40437Medicare UPIN