Provider Demographics
NPI:1629222765
Name:HUNG, CHIA WEN (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:CHIA WEN
Middle Name:
Last Name:HUNG
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 W. 53RD ST.
Mailing Address - Street 2:APT. 35A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-6005
Mailing Address - Country:US
Mailing Address - Phone:917-842-8163
Mailing Address - Fax:
Practice Address - Street 1:159 W. 53RD ST.
Practice Address - Street 2:APT. 35A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-6005
Practice Address - Country:US
Practice Address - Phone:917-842-8163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011161-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics