Most Relevant Information
Provider Data
| NPI Number: | 1003536277 |
| Provider Name: | JILLIAN LIM |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 5865 |
Most Important Dates
| Enumeration Date: | 08/30/2022 |
| Last Updated: | 12/28/2023 |
Provider Practice Location
506 6TH ST
BROOKLYN
NY
112153609
Practice Location Phone/Fax
| Phone: | 7187803000 |
| Fax: |
Provider Mailing Location
1108 31ST DR APT 404
ASTORIA
NY
111065077
Provider Mailing Phone/Fax
| Phone: | 3475743210 |
| Fax: |