Provider Demographics
NPI:1336419449
Name:PEARL LIM MD, PLLC
Entity Type:Organization
Organization Name:PEARL LIM MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEARL
Authorized Official - Middle Name:JAE HEE
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-614-1920
Mailing Address - Street 1:4027 MURRAY ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4933
Mailing Address - Country:US
Mailing Address - Phone:718-445-4443
Mailing Address - Fax:718-961-6019
Practice Address - Street 1:4027 MURRAY ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4933
Practice Address - Country:US
Practice Address - Phone:718-445-4443
Practice Address - Fax:718-961-6019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219215207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty