| | Physician Last Name: | Tan |
| | Physician First Name: | Teresita |
| | Physician Middle Name: | |
| | Address: | 108 Midwood Street
Brooklyn, New York 11225 |
| | License Number: | 113834 |
| | License Type: | MD |
| | Year of Birth: |
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| | Effective Date: | 03/09/1994 |
| | Action Description for DOH Webpage: | License revocation |
| | Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charge finding the physician guilty of having violated provisions of New York State Social Services Laws and Regulations by submitting false claims to the Medicaid Program and providing medical care that failed to meet professionally recognized standards. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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