Individual provider · Type 1 NPI

Idella Chung, LPN

Licensed Practical Nurse · Cuddebackville, NY

NPI number 1629395488 Active

Practice location

30 Galley Hill Rd
Cuddebackville, NY 12729-5204

Fax (845) 754-7141

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X191179 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1629395488

Idella Chung, LPN's National Provider Identifier is 1629395488, issued on May 3, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cuddebackville, NY. The record was last updated on May 3, 2010.