Healthcare Provider Details

I. General information

NPI: 1629801006
Provider Name (Legal Business Name): ANNE-FRANCE PIERRE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 WEBSTER AVE
BRONX NY
10456-5205
US

IV. Provider business mailing address

194 W 22ND ST
DEER PARK NY
11729-4812
US

V. Phone/Fax

Practice location:
  • Phone: 609-795-0554
  • Fax:
Mailing address:
  • Phone: 917-724-7289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number311553
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: