MEDICARE: DR. KAREN PIERRE D.P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	034252	NY

General Provider Information

NPI Number	:	1790051936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN PIERRE D.P.T.

Provider Business Mailing Address
First Line	:	330 59TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3718
Country	:	US
Telephone Number	:	718-492-0087
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 59TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3718
Country	:	US
Telephone Number	:	718-492-0087
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2012
Last Update Date	:	05/28/2012

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