Healthcare Provider Details

I. General information

NPI: 1821309816
Provider Name (Legal Business Name): MATTHEW N. PIERRE SLP, RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 06/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 CONEY ISLAND AVE
BROOKLYN NY
11230-5849
US

IV. Provider business mailing address

95 LINDEN BLVD APT 34C
BROOKLYN NY
11226-3311
US

V. Phone/Fax

Practice location:
  • Phone: 718-998-1415
  • Fax:
Mailing address:
  • Phone: 718-942-1434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: