Healthcare Provider Details

I. General information

NPI: 1811204043
Provider Name (Legal Business Name): MARIE RENEE PIERRE-LOUIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2010
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 GREAT EAST NECK RD
WEST BABYLON NY
11704-7606
US

IV. Provider business mailing address

309 GREAT EAST NECK RD APT 1
WEST BABYLON NY
11704-7606
US

V. Phone/Fax

Practice location:
  • Phone: 516-701-8874
  • Fax:
Mailing address:
  • Phone: 516-701-8874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number536160-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: