Individual
ALEX SUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1642 63RD ST, BROOKLYN, NY 11204-2713
(718) 234-5700
(718) 234-5755
Mailing address
1642 63RD ST, BROOKLYN, NY 11204-2713
(718) 234-5700
(718) 234-5755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017794
NY
225X00000X
Occupational Therapist
46TR00607900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017794
NYS EDUCATION DEPARTMENT- OFFICE OF THE PROFESSIONS
NY
01
—
46TR00607900
NJ OFFICE OF CONSUMER AFFAIRS
NJ
Enumeration date
03/26/2013
Last updated
12/01/2020
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