Chung, Idella

Chung, Idella is an individual health care provider with primary practice located at 30 Galley Hill Rd , Cuddebackville NY 12729-5204. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Chung, Idella can be contacted via phone (845) 754-8756.

Contact Information

Primary practice address
30 Galley Hill Rd Cuddebackville NY 12729-5204
Phone: (845) 754-8756
Fax: (845) 754-7141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 191179 New York

Profile Details

NPI number 1629395488
LBN Legal business name Chung, Idella
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2010
Last updated May 3rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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