Provider Demographics
NPI:1871663070
Name:LIM, SYLVIA W (MD)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:W
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3271 46TH ST
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11103-1911
Mailing Address - Country:US
Mailing Address - Phone:718-920-5873
Mailing Address - Fax:718-652-4417
Practice Address - Street 1:MMC - FAMILY CARE CENTER
Practice Address - Street 2:3444 KOSSUTH AVE. 1ST FL. RM B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-5873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193521208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics