Provider Demographics
NPI:1275895385
Name:PEARSON, ARLENE THERESA (MSED)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:THERESA
Last Name:PEARSON
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1079 E 73RD ST
Mailing Address - Street 2:UNIT 3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5364
Mailing Address - Country:US
Mailing Address - Phone:917-723-1998
Mailing Address - Fax:
Practice Address - Street 1:1079 E 73RD ST
Practice Address - Street 2:UNIT 3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5364
Practice Address - Country:US
Practice Address - Phone:917-723-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No174H00000XOther Service ProvidersHealth Educator