Daban Lim, | |
107-02r Jamaica Ave, Richmond Hill, Queens, NY 11418 | |
(347) 829-3890 | |
Not Available |
Full Name | Daban Lim |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 107-02r Jamaica Ave, Queens, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548046238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 028106 (New York) | Primary |
Provider Name | Easy Care Medical Services Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952074585 PECOS PAC ID: 5092185603 Enrollment ID: O20221222001951 |
Mailing Address | Practice Location Address |
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Daban Lim, 318a Roff Ave, Palisades Park, NJ 07650-6707 Ph: () - | Daban Lim, 107-02r Jamaica Ave, Richmond Hill, Queens, NY 11418 Ph: (347) 829-3890 |
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