Healthcare Provider Details

I. General information

NPI: 1366802936
Provider Name (Legal Business Name): MYRIAM PIERRE AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MYRIAM PIERRE

II. Dates (important events)

Enumeration Date: 02/25/2016
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 HEMPSTEAD AVE
WEST HEMPSTEAD NY
11552-2050
US

IV. Provider business mailing address

354 HEMPSTEAD AVE
WEST HEMPSTEAD NY
11552-2050
US

V. Phone/Fax

Practice location:
  • Phone: 516-500-9905
  • Fax:
Mailing address:
  • Phone: 516-410-7715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF311523-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF311523-01
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberF311523-01
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number619293
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: