Healthcare Provider Details

I. General information

NPI: 1851246821
Provider Name (Legal Business Name): HYEJI LIM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 W 59TH ST
NEW YORK NY
10019-1301
US

IV. Provider business mailing address

675 W 59TH ST APT 2202
NEW YORK NY
10019-1587
US

V. Phone/Fax

Practice location:
  • Phone: 347-753-2059
  • Fax:
Mailing address:
  • Phone: 347-753-2059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007884
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: