Lim, Jong

Lim, Jong is an individual health care provider with primary practice located at 8345 Broadway , Elmhurst NY 11373-5703. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lim, Jong can be contacted via phone (718) 760-4178.

Contact Information

Primary practice address
8345 Broadway Elmhurst NY 11373-5703
Phone: (718) 760-4178
Fax: (718) 271-8432
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 047374 New York

Profile Details

NPI number 1356323059
LBN Legal business name Lim, Jong
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356323059 NPPES
New York MEDICAID 01892575

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