# LOWER EAST SIDE FAMILY MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356692859
- **Authorized official:** DR. TERESA CHAN M.D. (SOLE MEMBER/OWNER)
- **Authorized official phone:** (212) 777-4329

## Contact information

- **Practice address:** 260 E BROADWAY STE 2, NEW YORK, NY 10002-5609
- **Practice address phone:** (212) 777-4329
- **Practice address fax:** (212) 777-4301
- **Mailing address:** 260 E BROADWAY STE 2, NEW YORK, NY 10002-5609
- **Mailing address phone:** (212) 777-4329
- **Mailing address fax:** (212) 777-4301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 213958 | NY | Yes |

## Other

- **Enumeration date:** 09/24/2012
- **Last updated:** 01/13/2013