Jeagwan Lim, | |
4199 Main St Ste 202b, Flushing, NY 11355-3821 | |
(929) 398-3120 | |
(833) 985-0130 |
Full Name | Jeagwan Lim |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4199 Main St Ste 202b, Flushing, 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 |
---|---|---|---|
1124475363 | NPI | - | NPPES |
05027858 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 035534 (New York) | Primary |
Provider Name | Laon Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518522085 PECOS PAC ID: 6002149325 Enrollment ID: O20190531000365 |
Mailing Address | Practice Location Address |
---|---|
Jeagwan Lim, 13620 Maple Ave Ste 201c, Flushing, NY 11355-5167 Ph: (929) 398-3120 | Jeagwan Lim, 4199 Main St Ste 202b, Flushing, NY 11355-3821 Ph: (929) 398-3120 |
Janine Volpe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7740 Vleigh Pl, Flushing, NY 11367 Phone: 718-591-9093 | |
Marcos Crick, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3820 Bowne St, Flushing, NY 11354 Phone: 877-407-3422 Fax: 877-407-4329 | |
Seonjoong Lee, Physical Therapist Medicare: Medicare Enrolled Practice Location: 13338 41st Rd Ste Cs8, Flushing, NY 11355 Phone: 201-815-3969 | |
Seth Pachman Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3409 Francis Lewis Blvd, Flushing, NY 11358 Phone: 917-565-1280 Fax: 631-693-3321 | |
Minsuk K Kim, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 37-31 149st., Flushing, NY 11354 Phone: 718-321-2511 Fax: 888-327-6892 | |
Philam Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 15609 Northern Blvd, Flushing, NY 11354 Phone: 347-247-7462 | |
Chibum Bae, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3521 149th St, 3a, Flushing, NY 11354 Phone: 951-231-8800 |