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NPI Code Detail

MEDICARE: CAROLE PIERRE-LOUIS LPN

MEDICARE: CAROLE PIERRE-LOUIS LPN
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
1164W00000XLicensed Practical Nurse288946-1NY

General Provider Information

NPI Number : 1992054696
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLE PIERRE-LOUIS LPN
Provider Business Mailing Address
First Line : 1440 PORT WASHINGTON BLVD
Second Line :
City : PORT WASHINGTON
State : NY
Zip : 11050-2412
Country : US
Telephone Number : 516-767-2320
Fax Number :
Provider Business Practice Location Address
First Line : 1440 PORT WASHINGTON BLVD
Second Line :
City : PORT WASHINGTON
State : NY
Zip : 11050-2412
Country : US
Telephone Number : 516-767-2320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2012
Last Update Date : 09/10/2012

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Directions to “ CAROLE PIERRE-LOUIS LPN” Practice Location

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