Healthcare Provider Details

I. General information

NPI: 1487186599
Provider Name (Legal Business Name): MIOLE PIERRE PIGEOT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 07/22/2020
Certification Date: 07/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 FLATBUSH AVE
BROOKLYN NY
11225-6155
US

IV. Provider business mailing address

703 FLATBUSH AVE
BROOKLYN NY
11225-6155
US

V. Phone/Fax

Practice location:
  • Phone: 212-226-7666
  • Fax: 212-202-7988
Mailing address:
  • Phone: 212-226-7666
  • Fax: 212-202-7988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number305531
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: