Healthcare Provider Details

I. General information

NPI: 1326997297
Provider Name (Legal Business Name): SUSAN UY LIM REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2026
Last Update Date: 01/24/2026
Certification Date: 01/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1819 BERGEN ST
BROOKLYN NY
11233-4513
US

IV. Provider business mailing address

6148 219TH ST APT 2
OAKLAND GARDENS NY
11364-2372
US

V. Phone/Fax

Practice location:
  • Phone: 718-221-4500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number919954
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: