Provider Demographics
NPI:1336357599
Name:LEE CHONG, VALERIE Q (RN)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:Q
Last Name:LEE CHONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-5736
Mailing Address - Country:US
Mailing Address - Phone:516-797-4326
Mailing Address - Fax:
Practice Address - Street 1:51 SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-5736
Practice Address - Country:US
Practice Address - Phone:516-797-4326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY476417163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health