MEDICARE: MS. ARLEEN JOYCE SUEN M.A.

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	235Z00000X	Speech-Language Pathologist	0127731	NY

General Provider Information

NPI Number	:	1841416278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ARLEEN JOYCE SUEN M.A.

Provider Business Mailing Address
First Line	:	2098 8TH AVE
Second Line	:	APT. 2-I
City	:	NEW YORK
State	:	NY
Zip	:	10026-2792
Country	:	US
Telephone Number	:	212-933-4217
Fax Number	:	212-933-4217

Provider Business Practice Location Address
First Line	:	2098 8TH AVE
Second Line	:	APT. 2-I
City	:	NEW YORK
State	:	NY
Zip	:	10026-2792
Country	:	US
Telephone Number	:	212-933-4217
Fax Number	:	212-933-4217

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	05/14/2009

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