Healthcare Provider Details

I. General information

NPI: 1598622920
Provider Name (Legal Business Name): KIARA ELENA PIERRISTIL LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2488 GRAND CONCOURSE
BRONX NY
10458-5203
US

IV. Provider business mailing address

71 COOLIDGE ST
HAVERSTRAW NY
10927-1035
US

V. Phone/Fax

Practice location:
  • Phone: 718-881-7600
  • Fax:
Mailing address:
  • Phone: 845-290-7310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number132923
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: