MEDICARE: ESTER L LIM DMD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	039155-1	NY

General Provider Information

NPI Number	:	1447352539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESTER L LIM DMD, PC

Provider Business Mailing Address
First Line	:	350 5TH AVE
Second Line	:	EMPIRE STATE BUILDING
City	:	NEW YORK
State	:	NY
Zip	:	10118-0110
Country	:	US
Telephone Number	:	212-594-5668
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 5TH AVE
Second Line	:	EMPIRE STATE BUILDING
City	:	NEW YORK
State	:	NY
Zip	:	10118-0110
Country	:	US
Telephone Number	:	212-594-5668
Fax Number	:

Authorized Official
Title or Position	:	OWNER PRESIDENT OF PC/DENTIST
Name	:	ESTHER L LIM
Credential	:	DMD
Telephone Number	:	212-594-5668

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	08/22/2020

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