MEDICARE: DR. TERESA LIM MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1174471353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERESA LIM MD

Provider Business Mailing Address
First Line	:	18006 BISHOPS POND
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-1436
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 E MAIN ST
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-3477
Country	:	US
Telephone Number	:	914-666-1200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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