Provider Demographics
NPI:1063550630
Name:CHUN, ARLENE (SPEC ED, TEACHER)
Entity type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:
Last Name:CHUN
Suffix:
Gender:F
Credentials:SPEC ED, TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 HORN LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-3408
Mailing Address - Country:US
Mailing Address - Phone:516-741-0959
Mailing Address - Fax:
Practice Address - Street 1:83 HORN LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-3408
Practice Address - Country:US
Practice Address - Phone:516-741-0959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist