MEDICARE: LIM H.TSE,M.D.,P.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
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1962709675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIM H.TSE,M.D.,P.C.

Provider Business Mailing Address
First Line	:	846 55TH ST FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3213
Country	:	US
Telephone Number	:	718-436-8060
Fax Number	:	718-436-8070

Provider Business Practice Location Address
First Line	:	846 55TH ST FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3213
Country	:	US
Telephone Number	:	718-436-8060
Fax Number	:	718-436-8070

Authorized Official
Title or Position	:	MD
Name	:	LIM H TSE
Credential	:
Telephone Number	:	347-365-6868

Provider Enumeration Date	:	02/15/2011
Last Update Date	:	02/15/2011

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