DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SU YEON CHUNG OTR/L

MEDICARE: SU YEON CHUNG OTR/L
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
1225X00000XOccupational Therapist010611-1NY
2225XP0200XPediatric Occupational Therapist010611-1NY

General Provider Information

NPI Number : 1316224249
Entity Type Code : Individual
Provider Name (Legal Business Name) : SU YEON CHUNG OTR/L
Provider Business Mailing Address
First Line : 45 RIVER DR S APT 2415
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07310-3730
Country : US
Telephone Number : 917-566-4610
Fax Number :
Provider Business Practice Location Address
First Line : 25 E 104TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10029-4402
Country : US
Telephone Number : 917-566-4610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2011
Last Update Date : 11/06/2011

Similar Medicare Providers

1003118639 — MISS KAREN ELIZABETH SULLIVAN M.S., CCC-SLP
Practice Location Address:
25 E 104TH ST
NEW YORK, NY
10029-4402
Practice Phone: 212-289-4872
Practice Fax:
1396020012 — NANCY SAUFER MA, CCC-SLP
Practice Location Address:
25 E 104TH ST
NEW YORK, NY
10029-4402
Practice Phone: 212-289-4872
Practice Fax:
1780936005 — LAUREN PERSICHETTI
Practice Location Address:
25 E 104TH ST
NEW YORK, NY
10029-4402
Practice Phone: 212-289-4872
Practice Fax:
1477994630 — MISS JUSTINE BALOG MOT, OTR/L
Practice Location Address:
25 E 104TH ST
NEW YORK, NY
10029-4402
Practice Phone: 212-289-4872
Practice Fax:
1518383108 — MAUREEN D REED M.S., CCC-SLP
Practice Location Address:
25 E 104TH ST
NEW YORK, NY
10029-4402
Practice Phone: 212-289-4872
Practice Fax:
1316395502 — MISS KAITLIN ROSE MCMILLAN MA CCC-SLP
Practice Location Address:
25 E 104TH ST
NEW YORK, NY
10029-4402
Practice Phone: 212-289-4872
Practice Fax:

Directions to “ SU YEON CHUNG OTR/L” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.