Mary Kirstyleigh Ann Revilla Lim, MD
Mary Kirstyleigh Ann Revilla Lim, MD is a Pediatric Medicine in New York, New York. Qualified in 2009, 17 years ago. Licensed in New York.
- Years since qualifying
- 17
- Licensed in
- NY
- In the registry since
- 2020
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
506 Lenox AveNew York, NY 10037-1802
Phone: (212) 939-4019
Fax: (212) 939-4022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 32481901 (NY) |
|---|
Record details
| NPI number | 1376168344 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 15, 2020 |
| Last updated in NPPES | June 1, 2026 |
| Certification date | June 1, 2026 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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