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NPI Code Detail

MEDICARE: DR. KHENG-JOON LIM D.C.

MEDICARE: DR. KHENG-JOON LIM D.C.
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
1111N00000XChiropractor70-011489NY

General Provider Information

NPI Number : 1538300793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHENG-JOON LIM D.C.
Provider Business Mailing Address
First Line : 4738 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10040-1103
Country : US
Telephone Number : 212-569-5330
Fax Number :
Provider Business Practice Location Address
First Line : 4738 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10040-1103
Country : US
Telephone Number : 212-569-5330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2009
Last Update Date : 03/18/2009

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