Provider Demographics
NPI:1023394699
Name:TE, TERESA LIM (MD)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:LIM
Last Name:TE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:413 E 120TH ST
Mailing Address - Street 2:OFFICE OF SCHOOL HEALTH
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-3602
Mailing Address - Country:US
Mailing Address - Phone:917-492-6950
Mailing Address - Fax:917-492-6972
Practice Address - Street 1:413 E 120TH ST
Practice Address - Street 2:OFFICE OF SCHOOL HEALTH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-3602
Practice Address - Country:US
Practice Address - Phone:917-492-6950
Practice Address - Fax:917-492-6972
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY164359208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics