Provider Demographics
NPI:1902434343
Name:LIM, MICHELLE ABIGAIL (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ABIGAIL
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT ANESTHESIOLOGY, PERIOPERATIVE AND PAIN MEDICINE
Mailing Address - Street 2:1 GUSTAVE L. LEVY PLACE BOX 1010
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-7473
Mailing Address - Fax:
Practice Address - Street 1:ICAHN SOM AT MT SINAI DEPT OF ANESTHESIOLOGY
Practice Address - Street 2:1468 MADISON AVE, 8TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-7473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty